Provider Demographics
NPI:1265819122
Name:BRIGHT HEART HEALTH, INC
Entity Type:Organization
Organization Name:BRIGHT HEART HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CIAMPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-990-3151
Mailing Address - Street 1:610 W PEACE ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605-1520
Mailing Address - Country:US
Mailing Address - Phone:844-884-4474
Mailing Address - Fax:
Practice Address - Street 1:610 W PEACE ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1520
Practice Address - Country:US
Practice Address - Phone:844-884-4474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health