Provider Demographics
NPI:1598313710
Name:BRIGHT HORIZON THERAPY CENTER INC
Entity Type:Organization
Organization Name:BRIGHT HORIZON THERAPY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:M
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:952-232-6900
Mailing Address - Street 1:5245 EDINA INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2910
Mailing Address - Country:US
Mailing Address - Phone:952-232-6900
Mailing Address - Fax:952-960-0137
Practice Address - Street 1:5245 EDINA INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2910
Practice Address - Country:US
Practice Address - Phone:952-232-6900
Practice Address - Fax:952-960-0137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-30
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health