BRIGHTER HEIGHTS ARIZONA LLC DBA BLUE RIDGE MANOR NPI 1922190958

NPI Information

BRIGHTER HEIGHTS ARIZONA, LLC DBA BLUE RIDGE MANOR is a residential treatment facility emotionally disturbed children in Dewey, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. BRIGHTER HEIGHTS ARIZONA, LLC DBA BLUE RIDGE MANOR NPI is 1922190958. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Daybreak Behavioral Resources Dba Blue Ridge Manor.

The provider's business location address is:

14410 E BLUE RIDGE RD
DEWEY, AZ
ZIP 86327-754
Phone: (928) 632-8078
Fax: (928) 632-8082

The provider's authorized official is Brooke Wilson .
The authorized official title is Senior Credentialing Specialist and has the following contact phone number (928) 910-7644.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 7/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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