Provider Demographics
NPI:1992828669
Name:BRIGHTER FUTURES BEHAVIORAL
Entity Type:Organization
Organization Name:BRIGHTER FUTURES BEHAVIORAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GINNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:870-523-9300
Mailing Address - Street 1:1217 HIGHWAY 367 N
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:AR
Mailing Address - Zip Code:72112-2513
Mailing Address - Country:US
Mailing Address - Phone:870-523-9300
Mailing Address - Fax:870-523-9301
Practice Address - Street 1:1217 HIGHWAY 367 N
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:AR
Practice Address - Zip Code:72112-2513
Practice Address - Country:US
Practice Address - Phone:870-523-9300
Practice Address - Fax:870-523-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management