Organization
BRIGHTEN BAY FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA WILDES NHA (DIRECTOR OF OPERATIONS)
(863) 634-3023
Entity
Organization
Contact information
Practice address
5300 NW DUNN ROAD, FORT PIERCE, FL 34981
(863) 634-3023
Mailing address
5300 NW DUNN ROAD, FORT PIERCE, FL 34981
(863) 634-3023
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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