Organization · Type 2 NPI

Brighter Heights Arizona, LLC dba Blue Ridge Manor

Emotionally Disturbed Childrens' Residential Treatment Facility · Dewey, AZ

NPI number 1922190958 Active

Practice location

14410 E Blue Ridge Rd
Dewey, AZ 86327-6754

Call (928) 632-8078 Map

Fax (928) 632-8082

Mailing address

2517 N Great Western Dr., Suite P
Prescott Valley, AZ 86314-2597

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	BH-2374 (AZ)

Emotionally Disturbed Childrens' Residential Treatment Facility: 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.

Other emotionally disturbed childrens' residential treatment facility providers in Dewey

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NPI record

NPI: 1922190958
Entity type: Organization (Type 2)
Issued: Sep 28, 2006
Last updated: Jul 6, 2022
Status: Active
Subpart: Yes of Brighter Heights Arizona, LLC

Other names

<unavail>
Daybreak Behavioral Resources dba Blue Ridge Manor · former legal business name

Authorized official

Ms. Brooke Wilson
Senior Credentialing Specialist
(928) 910-7644

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922190958

Brighter Heights Arizona, LLC dba Blue Ridge Manor's National Provider Identifier is 1922190958, issued on Sep 28, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Dewey, AZ. The record was last updated on Jul 6, 2022.