Provider Demographics
NPI:1457991838
Name:BRIGHTER DAY WELLNESS CENTER
Entity Type:Organization
Organization Name:BRIGHTER DAY WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARJAVUN
Authorized Official - Middle Name:K
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-689-3500
Mailing Address - Street 1:2683 S DECATUR BLVD APT 2106
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8520
Mailing Address - Country:US
Mailing Address - Phone:702-689-3500
Mailing Address - Fax:
Practice Address - Street 1:2683 S DECATUR BLVD APT 2106
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8520
Practice Address - Country:US
Practice Address - Phone:702-689-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty