Healthcare Provider Details

I. General information

NPI: 1861355687
Provider Name (Legal Business Name): BRIGHTER DAYS ALLIANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5231 E ANDALUSITE LN
SAN TAN VALLEY AZ
85143-6314
US

IV. Provider business mailing address

5231 E ANDALUSITE LN
SAN TAN VALLEY AZ
85143-6314
US

V. Phone/Fax

Practice location:
  • Phone: 602-753-7992
  • Fax:
Mailing address:
  • Phone: 602-753-7992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: BERTOLD FORLEMU
Title or Position: OWNER
Credential:
Phone: 480-295-5878