Healthcare Provider Details

I. General information

NPI: 1750660601
Provider Name (Legal Business Name): BRIGHTER, STRONGER FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 09/03/2021
Certification Date: 09/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 NASHUA CT SU B
BALTIMORE MD
21221-3124
US

IV. Provider business mailing address

2945 EMMORTON RD UNIT 321
ABINGDON MD
21009-7513
US

V. Phone/Fax

Practice location:
  • Phone: 410-574-0000
  • Fax: 410-574-0002
Mailing address:
  • Phone: 410-574-0000
  • Fax: 410-574-0002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number6933050-00
License Number StateMD

VIII. Authorized Official

Name: MRS. TYEISHA BRIGHT-JONES
Title or Position: CO-EXECUTIVE DIRECTOR
Credential: LCPC
Phone: 410-574-0000