Organization
BRIGHTSIDE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L DEVEY (CHIEF FINANCIAL OFFICER)
(413) 748-9308
Entity
Organization
Contact information
Practice address
2112 RIVERDALE ST, W SPRINGFIELD, MA 01089-1024
(413) 539-2973
(413) 539-2454
Mailing address
PO BOX 414484, BOSTON, MA 02241-4484
(413) 539-2973
(413) 539-2454
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
1474833
MA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
1475732
MA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
1475733
MA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
1475734
MA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
1475735
MA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
1475736
MA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
5877
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305263
—
MA
Enumeration date
05/01/2007
Last updated
08/22/2020
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