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General NPI Number Information
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NPI Number | 1164576211
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Entity Type | Organization
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Legal Business Name | BRIGHTER TOMORROWS, INC.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 323 PENNSYLVANIA AVE
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City | MINDEN
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State | LA
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Zip | 71055-3444
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Country | US
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Telephone | 318-377-0902
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1494
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City | MINDEN
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State | LA
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Zip | 71058-1494
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Country | US
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Telephone | 318-371-6771
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PATRICK LANE PAYTON
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Credential |
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Telephone | 318-371-6771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 589
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License Number State | LA
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