Provider Demographics
NPI:1407534373
Name:BURKE PSYCHOSOCIAL SERVICES, INC.
Entity Type:Organization
Organization Name:BURKE PSYCHOSOCIAL SERVICES, INC.
Other - Org Name:BRIGHTER HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:SAVARIMUTHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-475-1880
Mailing Address - Street 1:PO BOX 1542
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28680-1542
Mailing Address - Country:US
Mailing Address - Phone:863-475-1880
Mailing Address - Fax:
Practice Address - Street 1:214 AVERY AVE
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3103
Practice Address - Country:US
Practice Address - Phone:828-475-1880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty