Provider Demographics
NPI:1003089459
Name:BRIGHTER FUTURES COMMUNITY DEVELOPMENT AND FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:BRIGHTER FUTURES COMMUNITY DEVELOPMENT AND FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JERDONNIS
Authorized Official - Middle Name:CHONDRAY
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:336-972-2568
Mailing Address - Street 1:180C VISTA CIR # C
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-1938
Mailing Address - Country:US
Mailing Address - Phone:336-972-2568
Mailing Address - Fax:336-306-5541
Practice Address - Street 1:530 N SPRING ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-2729
Practice Address - Country:US
Practice Address - Phone:336-577-6652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management