Provider Demographics
NPI: | 1588257570 |
---|---|
Name: | A BRIGHTER DAY RECUPERATIVE CARE LLC |
Entity type: | Organization |
Organization Name: | A BRIGHTER DAY RECUPERATIVE CARE LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | PAUL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SCHAFER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 213-293-3213 |
Mailing Address - Street 1: | 1590 ROSECRANS AVE STE D532 |
Mailing Address - Street 2: | |
Mailing Address - City: | MANHATTAN BEACH |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 90266-3727 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 213-293-3213 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 407-409 W 103RD ST |
Practice Address - Street 2: | |
Practice Address - City: | LOS ANGELES |
Practice Address - State: | CA |
Practice Address - Zip Code: | 90003-4405 |
Practice Address - Country: | US |
Practice Address - Phone: | 213-293-3213 |
Practice Address - Fax: | 866-815-5154 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-02-19 |
Last Update Date: | 2023-05-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | Group - Multi-Specialty | |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
No | 164X00000X | Nursing Service Providers | Licensed Vocational Nurse | Group - Multi-Specialty | |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
No | 2083A0300X | Allopathic & Osteopathic Physicians | Preventive Medicine | Addiction Medicine | Group - Multi-Specialty |
No | 2083P0901X | Allopathic & Osteopathic Physicians | Preventive Medicine | Public Health & General Preventive Medicine | Group - Multi-Specialty |
No | 2084A0401X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Addiction Medicine | Group - Multi-Specialty |
No | 2084P0015X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychosomatic Medicine | Group - Multi-Specialty |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | Group - Multi-Specialty |