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General NPI Number Information
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NPI Number | 1669874418
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Entity Type | Organization
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Legal Business Name | THE BRIGHTON CENTER, INC.
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 2512 HARTE DR
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City | BRIGHTON
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State | MI
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Zip | 48114-7002
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Country | US
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Telephone | 810-229-9220
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Fax | 810-222-1957
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Provider Business Mailing Address
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Address Line | 2512 HARTE DR
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City | BRIGHTON
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State | MI
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Zip | 48114-7002
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Country | US
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Telephone | 810-229-9220
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Fax | 810-222-1957
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Authorized Official
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Title or Position | PROGRAM SPONSOR
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Name | MS. KAREN SCOTT
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Credential |
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Telephone | 810-229-9220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | SA0470095
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License Number State | MI
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