Healthcare Provider Details

I. General information

NPI: 1487837951
Provider Name (Legal Business Name): BRIGHTER BEGINNINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2007
Last Update Date: 12/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2648 INTERNATIONAL BLVD SUITE 400
OAKLAND CA
94601-1506
US

IV. Provider business mailing address

2648 INTERNATIONAL BLVD SUITE 400
OAKLAND CA
94601-1506
US

V. Phone/Fax

Practice location:
  • Phone: 510-903-7503
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: BARBARA BUNN MCCULLOUGH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 510-903-7503