Brighter Heights Arizona, LLC DBA Smoki Trail

NPI #1588740930 in Dewey, Arizona

Provider Information

NPI Number: 1588740930
Entity Type: Organization
Organization Name: Brighter Heights Arizona, LLC DBA Smoki Trail
Subpart: Yes (part of a larger organization)
Parent Organization: BRIGHTER HEIGHTS ARIZONA, LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Oct 28, 2006
Last Updated: Jul 6, 2022

Practice Location

Address: 9435 E SMOKI TRAIL
City: Dewey
State: Arizona
ZIP Code: 86327-6990
Phone: (928) 632-5806

Authorized Official

Name: MS. BROOKE WILSON
Title: SENIOR CREDENTIALING SPECIALIST
Phone: (928) 910-7644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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