| NPI | 1710668181 |
|---|---|
| Former Legal Business Name | BRIGHTVIEW LLC |
| Entity Type | Organization |
| Authorized Contact | AMY MARIE NIEMAN Director 833-510-4357 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-09-18 |