Organization
BRIGHT1'S PATH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACEAN ALMARCO FORD (VICE-PRESIDENT/CFO/CTO)
(678) 605-9994
Entity
Organization
Contact information
Practice address
1333 REDFORD DR SE, ATLANTA, GA 30315-8634
(678) 605-9994
Mailing address
1333 REDFORD DR SE, ATLANTA, GA 30315-8634
(678) 605-9994
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
08/08/2021
Last updated
08/09/2021
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