Provider Demographics
NPI:1831227297
Name:BRIGHTER PATH FAMILY CARE
Entity type:Organization
Organization Name:BRIGHTER PATH FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:MONROE
Authorized Official - Last Name:NICHOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-852-9823
Mailing Address - Street 1:3020 ROYALTON DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-6226
Mailing Address - Country:US
Mailing Address - Phone:336-852-9823
Mailing Address - Fax:336-297-2191
Practice Address - Street 1:3020 ROYALTON DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-6226
Practice Address - Country:US
Practice Address - Phone:336-852-9823
Practice Address - Fax:336-297-2191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children