Provider Demographics
NPI:1679965578
Name:BRIGHT FUTURES BOYNTON BEACH, LLC
Entity Type:Organization
Organization Name:BRIGHT FUTURES BOYNTON BEACH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALVISE
Authorized Official - Middle Name:
Authorized Official - Last Name:PUGLIESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-441-4204
Mailing Address - Street 1:2320 S SEACREST BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-6517
Mailing Address - Country:US
Mailing Address - Phone:561-518-7950
Mailing Address - Fax:
Practice Address - Street 1:2320 S SEACREST BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6517
Practice Address - Country:US
Practice Address - Phone:561-518-7950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty