Healthcare Provider Details

I. General information

NPI: 1952232589
Provider Name (Legal Business Name): BRIGHT FUTURE HOUSING SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 KINGS HWY N STE 400
CHERRY HILL NJ
08034-1925
US

IV. Provider business mailing address

1040 KINGS HWY N STE 400
CHERRY HILL NJ
08034-1925
US

V. Phone/Fax

Practice location:
  • Phone: 612-423-4906
  • Fax:
Mailing address:
  • Phone: 612-423-4906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: IBRAHIM AHMED
Title or Position: OWNER
Credential:
Phone: 612-423-4906