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NPI Code Detail

MEDICARE: BRIGHT PATH HEALTH LLC

MEDICARE: BRIGHT PATH HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment Facility

General Provider Information

NPI Number : 1497686737
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHT PATH HEALTH LLC
Provider Business Mailing Address
First Line : 629 W JARDIN DR
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-5117
Country : US
Telephone Number : 480-235-8942
Fax Number :
Provider Business Practice Location Address
First Line : 629 W JARDIN DR
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-5117
Country : US
Telephone Number : 480-235-8942
Fax Number :
Authorized Official
Title or Position : CEO
Name : CHARLES AJASSI
Credential :
Telephone Number : 480-235-8942
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “BRIGHT PATH HEALTH LLC ” Practice Location

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