Organization
BRIGHTER PATH FAMILY CARE # 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER MONROE NICHOLSON (EXECUTIVE DIRECTOR)
(336) 656-9208
Entity
Organization
Contact information
Practice address
7995 WAGMONT DR, BROWNS SUMMIT, NC 27214-9024
(336) 656-9208
(336) 297-2191
Mailing address
7995 WAGMONT DR, BROWNS SUMMIT, NC 27214-9024
(336) 656-9208
(336) 297-2191
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
322D00000X
NC
Other
Enumeration date
04/18/2007
Last updated
07/03/2008
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