| Brightline, Inc. | |
|
400 Concar Dr San Mateo CA 94402-2681 | |
| (650) 456-5777 | |
| Not Available |
| Full Name | Brightline, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 400 Concar Dr, San Mateo, California |
| Authorized Official Name and Position | Kevin Miller (CFO) |
| Authorized Official Contact | 3035980616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightline, Inc. 400 Concar Dr San Mateo CA 94402-2681 Ph: (650) 456-5777 | Brightline, Inc. 400 Concar Dr San Mateo CA 94402-2681 Ph: (650) 456-5777 |
| NPI Number | 1134842065 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134842065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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