Organization
A BRIGHTER PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTESHA EVANS FNP (OWNER)
(704) 477-2631
Entity
Organization
Contact information
Practice address
120 JETTER RD, GROVER, NC 28073-9687
(704) 477-2631
Mailing address
5140 NEWPORT LANDING WAY, GASTONIA, NC 28056-8521
(704) 477-2631
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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