Whalio Doctors

NPI 1467673335

Brightside INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility W Springfield, MA

Practice location

Address
2112 Riverdale St, W Springfield, MA 01089-1024
Phone
(413) 539-2973
Fax
(413) 539-2454
Mailing address
PO Box 414484, Boston, MA 02241-4484

Authorised official

Name
Robert L Devey
Title
Chief Financial Officer
Phone
(413) 748-9308

Registered specialties (7)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 5877 (MA)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 1474833 (MA)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 1475734 (MA)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 1475733 (MA)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 1475735 (MA)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 1475736 (MA)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 1475732 (MA)

Registry record

NPI
1467673335
Entity type
Organization
NPI issued
1 May 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.