Healthcare Provider Details

I. General information

NPI: 1245661602
Provider Name (Legal Business Name): BRIGHTER TRANSITION YTC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 05/25/2022
Certification Date: 05/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46560 264TH ST
SIOUX FALLS SD
57107-6903
US

IV. Provider business mailing address

46560 264TH ST
SIOUX FALLS SD
57107-6903
US

V. Phone/Fax

Practice location:
  • Phone: 605-528-3550
  • Fax:
Mailing address:
  • Phone: 605-528-3550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JON ST. PIERRE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 605-528-3550