| Organization Name: | BRIGHTSIDE INC |
| NPI Number: | 1093709370 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS ROBERT (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1233 Main St Holyoke |
| State: | MA US |
| Postal Code: | 010405381 |
| Phone Number: | 4135365111 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2005 |
| NPI Last Update Date: | 08/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 4257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |