| NPI | 1255050357 |
|---|---|
| Former Legal Business Name | BRIGHTSIDE BEHAVIORAL CENTER INC |
| Entity Type | Organization |
| Authorized Contact | ANNIET JORGE GOMEZ Administrator 913-952-4162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-10-12 |