Provider Demographics
NPI:1750972378
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:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-245-7736
Mailing Address - Street 1:1000 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-9644
Mailing Address - Country:US
Mailing Address - Phone:831-638-4925
Mailing Address - Fax:831-638-4926
Practice Address - Street 1:1345 SAN BENITO ST
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-4844
Practice Address - Country:US
Practice Address - Phone:831-638-4925
Practice Address - Fax:831-638-4926
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGHT FUTURE RECOVERY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA350002BPOtherCERTIFICATION