Healthcare Provider Details

I. General information

NPI: 1164576211
Provider Name (Legal Business Name): BRIGHTER TOMORROWS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 PENNSYLVANIA AVE
MINDEN LA
71055-3444
US

IV. Provider business mailing address

PO BOX 1494
MINDEN LA
71058-1494
US

V. Phone/Fax

Practice location:
  • Phone: 318-377-0902
  • Fax:
Mailing address:
  • Phone: 318-371-6771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number589
License Number StateLA

VIII. Authorized Official

Name: MR. PATRICK LANE PAYTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 318-371-6771