Whalio Doctors

NPI 1013608496

Bright Life Care Recovery Center LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Phoenix, AZ

Practice location

Address
5060 N 19th Ave STE 317, Phoenix, AZ 85015-3213
Phone
(602) 904-0088
Mailing address
2220 W Mission Ln APT 2092, Phoenix, AZ 85021-2896

Authorised official

Name
Bright Ngabire Ntimpa
Title
Administrator/Owner
Phone
(602) 904-0088

Registered specialties (8)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X
Case Management Agency
Agencies Taxonomy 251B00000X
Nursing Care Agency
Agencies Taxonomy 251J00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Physical Therapy Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QP2000X
Recovery Care Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0800X

Registry record

NPI
1013608496
Entity type
Organization
NPI issued
17 May 2023
Record last updated
17 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.