Provider Type Icon

BWC BRIGHTON LLC NPI 1104585421


NPI Information

NPI: 1104585421
Provider Name: BWC BRIGHTON LLC

Doing Business As: BLOSSOM CHILDREN'S CENTER-BRIGHTON

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
8175 MOVIE DR
BRIGHTON, MI
ZIP 48116
Phone: (248) 277-3005
Get Directions

BWC BRIGHTON LLC is a community behavioral health in Brighton, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BWC BRIGHTON LLC NPI is 1104585421. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Blossom Children's Center-brighton.

The provider's business location address is:

8175 MOVIE DR
BRIGHTON, MI
ZIP 48116-444
Phone: (248) 277-3005
Fax: (248) 277-3050

The provider's authorized official is Ziad Koza .
The authorized official title is Owner and has the following contact phone number (248) 860-6212.

The enumeration date for this NPI number is 12/14/2021 and was last updated on 11/2/2022.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistNo
2261QX0100XClinic/CenterOccupational MedicineNo
3251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.