| NPI | 1467299198 |
|---|---|
| Other Name | BRIGHT SKY GROUP HOME LLC |
| Entity Type | Organization |
| Authorized Contact | MAVIS BOAMAH-MULLEN Owner 862-621-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |