OrganizationActive
Bright Life Aba
NPI 1073407698 · Community/Behavioral Health Agency · Fort Wayne, IN
Provider details
- NPI number
- 1073407698
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Chayim Russ, Ceo(845) 304-5451
Specialties & taxonomies
Agencies
Practice location
110 E Wayne St Fl 12
Fort Wayne, IN 46802-2611
Phone: (845) 304-5451
Approximate (ZIP-level) locationGet directions
Mailing address
1718 New Hampshire Ave
Toms River, NJ 08755-2136
Registry dates
- Enumerated
- 2025-06-06
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.