Brighter Hope Inc | |
1400 E. Broadway East St Louis IL 62201 | |
(443) 627-1928 | |
Not Available |
Full Name | Brighter Hope Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1400 E. Broadway, East St Louis, Illinois |
Authorized Official Name and Position | Roshawnda S James (CEO) |
Authorized Official Contact | 4436271928 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brighter Hope Inc 4070 Gentry Ln Belleville IL 62226-7386 Ph: (443) 627-1928 | Brighter Hope Inc 1400 E. Broadway East St Louis IL 62201 Ph: (443) 627-1928 |
NPI Number | 1417593724 |
---|---|
Provider Enumeration Date | 11/21/2019 |
Last Update Date | 07/23/2020 |
Certification Date | 07/23/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417593724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |