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Organization

BRIGHTER DAYS OUTPATIENT SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHERONDA W WINGO (CEO/OWNER)
(540) 412-6378
Entity
Organization

Contact information

Practice address
9905 WILLOW RIDGE WAY, SPOTSYLVANIA, VA 22553-1882
(540) 412-6378
Mailing address
9905 WILLOW RIDGE WAY, SPOTSYLVANIA, VA 22553-1882
(540) 412-6378

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
09/12/2014
Last updated
09/12/2014
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