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Organization

A BRIGHTER TOMORROW GROUP HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FREDERICK HAYES (PARTNER)
(336) 681-3072
Entity
Organization

Contact information

Practice address
2214 ATLANTA ST, GREENSBORO, NC 27406-4002
(336) 272-9503
(336) 378-9478
Mailing address
2214 ATLANTA ST, GREENSBORO, NC 27406-4002
(336) 272-9503
(336) 378-9478

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-707
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6603853
NC
Enumeration date
02/26/2007
Last updated
08/22/2020
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