MEDICARE: BRIGHTER DAYS ALLIANCE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	323P00000X	Psychiatric Residential Treatment Facility
3	324500000X	Substance Abuse Rehabilitation Facility
4	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1861355687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTER DAYS ALLIANCE LLC

Provider Business Mailing Address
First Line	:	5231 E ANDALUSITE LN
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-6314
Country	:	US
Telephone Number	:	602-753-7992
Fax Number	:

Provider Business Practice Location Address
First Line	:	5231 E ANDALUSITE LN
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-6314
Country	:	US
Telephone Number	:	602-753-7992
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BERTOLD FORLEMU
Credential	:
Telephone Number	:	480-295-5878

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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