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General NPI Number Information
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NPI Number | 1861819229
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAY BEHAVIORAL HEALTH CENTER INC
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 12781 DARBY BROOK CT SUITE 202
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2482
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Country | US
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Telephone | 703-494-0426
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Fax | 703-494-1335
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Provider Business Mailing Address
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Address Line | 12781 DARBY BROOK CT SUITE 202
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2482
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Country | US
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Telephone | 703-494-0426
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Fax | 703-494-1335
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Authorized Official
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Title or Position | CEO
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Name | ALTHEA SIMPSON
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Credential | LCSW, LICSW
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Telephone | 703-494-0426
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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 | 0904007507
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License Number State | VA
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