Healthcare Provider Details

I. General information

NPI: 1316878507
Provider Name (Legal Business Name): BRIGHT PATHS AHEAD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 SOUTHFORK WAY
SAN JACINTO CA
92582-1210
US

IV. Provider business mailing address

1536 SOUTHFORK WAY
SAN JACINTO CA
92582-1210
US

V. Phone/Fax

Practice location:
  • Phone: 323-684-1248
  • Fax:
Mailing address:
  • Phone: 323-684-1248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: RACHELLE BELIA CAZARES
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 323-684-1248