NPI Code Details Logo

NPI 1366033813

NPI 1366033813 : BRIGHT FUTURE RECOVERY INC. : SAN LUIS OBISPO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366033813
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BRIGHT FUTURE RECOVERY INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/28/2021
-----------------------------------------------------
    Last Update Date     |    01/28/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6850 ONTARIO RD 
-----------------------------------------------------
    City                 |    SAN LUIS OBISPO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93405-8000
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    831-638-4925
-----------------------------------------------------
    Fax                  |    831-638-4926
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1000 FAIRVIEW RD 
-----------------------------------------------------
    City                 |    HOLLISTER
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95023-9644
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    831-638-4925
-----------------------------------------------------
    Fax                  |    831-638-4926
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     CHEREE  ASHLEY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    831-245-7736
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    324500000X
-----------------------------------------------------
    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.