NPI 1073407698

Bright Life Aba

Organisation Community/Behavioral Health Agency Fort Wayne, IN

Practice location

Address: 110 E Wayne St Fl 12, Fort Wayne, IN 46802-2611
Phone: (845) 304-5451
Mailing address: 1718 New Hampshire Ave, Toms River, NJ 08755-2136

Authorised official

Name: Chayim Russ
Title: Ceo
Phone: (845) 304-5451

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Indiana →

Registry record

NPI: 1073407698
Entity type: Organization
NPI issued: 6 Jun 2025
Record last updated: 26 Feb 2026

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.