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General NPI Number Information
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NPI Number | 1740098979
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Entity Type | Organization
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Legal Business Name | BRIGHT FUTURES FOR YOUTH
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 200 LITTON DR STE 308
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5037
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Country | US
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Telephone | 530-265-4311
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Fax |
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Provider Business Mailing Address
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Address Line | 200 LITTON DR STE 308
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5037
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Country | US
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Telephone | 530-265-4311
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JENNIFER SINGER
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Credential |
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Telephone | 530-265-4311
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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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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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