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BRIGHTSIDE BEHAVIORAL HEALTH LLC NPI 1508357419


NPI Information

NPI: 1508357419
Provider Name: BRIGHTSIDE BEHAVIORAL HEALTH LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2161912

Address:
16168 BEACH BLVD STE 100
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (949) 307-9212
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BRIGHTSIDE BEHAVIORAL HEALTH LLC is a substance abuse rehabilitation facility in Huntington Beach, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BRIGHTSIDE BEHAVIORAL HEALTH LLC NPI is 1508357419. The provider is registered as an organization entity type.

The provider's business location address is:

16168 BEACH BLVD STE 100
HUNTINGTON BEACH, CA
ZIP 92647-872
Phone: (949) 307-9212

The provider's authorized official is Barmak Hefazi .
The authorized official title is Ceo and has the following contact phone number (949) 307-9212.

The CLIA number assigned to this NPI record is 05D2161912 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2018 and was last updated on 11/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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