Provider Demographics
NPI:1073196465
Name:BRIGHT FUTURES AHEAD LLC
Entity Type:Organization
Organization Name:BRIGHT FUTURES AHEAD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BONITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:667-802-5335
Mailing Address - Street 1:4 E ROLLING CROSSROADS
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-6210
Mailing Address - Country:US
Mailing Address - Phone:667-802-5335
Mailing Address - Fax:443-860-9756
Practice Address - Street 1:5411 OLD FREDERICK ROAD
Practice Address - Street 2:SUITE 18
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-2126
Practice Address - Country:US
Practice Address - Phone:667-802-5335
Practice Address - Fax:443-860-9756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD700160600Medicaid