Provider Demographics
NPI:1255015830
Name:BRIGHTER OUTLOOK INC.
Entity type:Organization
Organization Name:BRIGHTER OUTLOOK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE COORDINATOR/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOMER
Authorized Official - Middle Name:D
Authorized Official - Last Name:DEBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-720-0203
Mailing Address - Street 1:5219 W HOWARD AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53220-2067
Mailing Address - Country:US
Mailing Address - Phone:414-915-3819
Mailing Address - Fax:
Practice Address - Street 1:8029 W MARION ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-1938
Practice Address - Country:US
Practice Address - Phone:262-720-0203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service