Organization
BRIGHT TOWER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIJAH NGUGI (EXECUTIVE DIRECTOR)
(803) 629-7502
Entity
Organization
Contact information
Practice address
833 N PARK RD, WYOMISSING, PA 19610-1341
(803) 629-7502
Mailing address
833 N PARK RD, WYOMISSING, PA 19610-1341
(803) 629-7502
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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