Bright Life Care Recovery Center LLC

NPI #1013608496 in Phoenix, Arizona

Provider Information

NPI Number: 1013608496
Entity Type: Organization
Organization Name: Bright Life Care Recovery Center LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 17, 2023
Last Updated: May 17, 2023

Practice Location

Address: 5060 N 19TH AVE STE 317
City: Phoenix
State: Arizona
ZIP Code: 85015-3213
Phone: (602) 904-0088

Authorized Official

Name: BRIGHT NGABIRE NTIMPA
Title: ADMINISTRATOR/OWNER
Phone: (602) 904-0088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Recovery Care — Recovery Care	261QR0800X
Case Management	251B00000X
Nursing Care	251J00000X
Community/Behavioral Health	251S00000X
Clinic/Center	261Q00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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