Bright Futures Behavioral Health
Nurse Practitioner, Psych/Mental Health in Beaver Dam, KY. Organization (NPI-2).
NPI number1982182317
StatusActive
Last updated in NPPESAug 29, 2018
Details
- NPI
- 1982182317
- Entity type
- Organization (NPI-2)
- Legal business name
- Bright Futures Behavioral Health
- Organization subpart
- No
- Enumeration date
- Jul 28, 2018
- Last updated
- Aug 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 3002835 | KY | Yes |
Practice location
1625 N Main StBeaver Dam, KY 42320
Phone 270-775-5758 · Fax 270-274-0696
Mailing address
1625 N Main StBeaver Dam, KY 42320-8963
Phone 270-775-5758 · Fax 270-274-0696
Authorized official
Susan Matthews
Owner
2707758000
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