Provider Demographics
NPI:1336440098
Name:BRIGHT FUTURE BEHAVIOR CENTER
Entity Type:Organization
Organization Name:BRIGHT FUTURE BEHAVIOR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-489-6914
Mailing Address - Street 1:5422 OAK COVE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-3612
Mailing Address - Country:US
Mailing Address - Phone:832-489-6914
Mailing Address - Fax:713-812-0126
Practice Address - Street 1:5422 OAK COVE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-3612
Practice Address - Country:US
Practice Address - Phone:832-489-6914
Practice Address - Fax:713-812-0126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty