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Organization

BRIGHT STAR ENRICHMENT AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PORTIA BRIGHT (CEO)
(252) 717-9613
Entity
Organization

Contact information

Practice address
304 S SQUARE DR, WINTERVILLE, NC 28590-9889
(252) 717-9613
Mailing address
304 S SQUARE DR, WINTERVILLE, NC 28590-9889
(252) 717-9613

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/07/2012
Last updated
09/07/2012
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