Provider Demographics
NPI:1982094512
Name:BRIGHTER HORIZONS GROUP HOMES
Entity Type:Organization
Organization Name:BRIGHTER HORIZONS GROUP HOMES
Other - Org Name:FAMILY FIRST SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHUKAIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-363-1255
Mailing Address - Street 1:PO BOX 61237
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27661-1237
Mailing Address - Country:US
Mailing Address - Phone:910-363-1255
Mailing Address - Fax:888-552-1363
Practice Address - Street 1:303 E VIEW ST
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-2807
Practice Address - Country:US
Practice Address - Phone:910-363-1255
Practice Address - Fax:888-552-1363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health