Organization
BRIGHTVIEW LLC
Active
Parent organization
BRIGHTVIEW LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHTVIEW LLC
Authorized official
AMY MARIE NIEMAN (DIR OF CREDENTIALING & ENROLLMENT)
(513) 834-7063
Entity
Organization
Contact information
Practice address
1612 MADISON AVE, COVINGTON, KY 41011-3318
(833) 510-4357
(513) 873-1567
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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