NPI | 1083006944 |
---|---|
Doing Business As | BRIGHT ROAD RECOVERY |
Entity Type | Organization |
Authorized Contact | TAMSON OVERHOLTZER Executive Director 909-624-7070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Enumeration Date | 2015-03-02 |
Last Update Date | 2023-02-07 |