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General NPI Number Information
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NPI Number | 1508730045
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Entity Type | Organization
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Legal Business Name | BRIGHT HARBOR SOLUTIONS LLC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 473 WENDOVER DR
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City | SALISBURY
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State | NC
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Zip | 28147-8034
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Country | US
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Telephone | 980-349-0414
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Fax | 980-349-0414
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Provider Business Mailing Address
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Address Line | 473 WENDOVER DR
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City | SALISBURY
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State | NC
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Zip | 28147-8034
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Country | US
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Telephone | 980-349-0414
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Fax | 980-349-0414
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Authorized Official
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Title or Position | CEO, OWNER
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Name | KAILAN JOHNSON
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Credential | RN
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Telephone | 980-349-0414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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