Provider Demographics
NPI:1336520360
Name:BRIGHT FUTURE RECOVERY INC.
Entity Type:Organization
Organization Name:BRIGHT FUTURE RECOVERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHEREE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:RAS, CADC-CAS
Authorized Official - Phone:831-245-7736
Mailing Address - Street 1:785 QUAIL HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-8910
Mailing Address - Country:US
Mailing Address - Phone:831-245-7736
Mailing Address - Fax:
Practice Address - Street 1:1000 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-9644
Practice Address - Country:US
Practice Address - Phone:831-245-7736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC031420315324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility