Provider Demographics
NPI:1679641898
Name:A BRIGHTER COMMUNITY
Entity Type:Organization
Organization Name:A BRIGHTER COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-223-6830
Mailing Address - Street 1:1613 N MARION ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-2638
Mailing Address - Country:US
Mailing Address - Phone:813-223-6830
Mailing Address - Fax:813-223-2522
Practice Address - Street 1:1613 N MARION ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-2638
Practice Address - Country:US
Practice Address - Phone:813-223-6830
Practice Address - Fax:813-223-2522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX ID