Provider Demographics
NPI:1972277416
Name:BRIGHT1'S PATH INC.
Entity Type:Organization
Organization Name:BRIGHT1'S PATH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT/CFO/CTO
Authorized Official - Prefix:
Authorized Official - First Name:RACEAN
Authorized Official - Middle Name:ALMARCO
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-605-9994
Mailing Address - Street 1:1333 REDFORD DR SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-8634
Mailing Address - Country:US
Mailing Address - Phone:678-605-9994
Mailing Address - Fax:
Practice Address - Street 1:1333 REDFORD DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-8634
Practice Address - Country:US
Practice Address - Phone:678-605-9994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-08
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable