Healthcare Provider Details

I. General information

NPI: 1982988242
Provider Name (Legal Business Name): THE BRIGHTER FUTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2011
Last Update Date: 10/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3951 SNAPFINGER PKWY SUITE 203
DECATUR GA
30035-3202
US

IV. Provider business mailing address

3951 SNAPFINGER PKWY SUITE 203
DECATUR GA
30035-3202
US

V. Phone/Fax

Practice location:
  • Phone: 770-648-8139
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number StateGA

VIII. Authorized Official

Name: M. DORSEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 770-648-8139