Healthcare Provider Details

I. General information

NPI: 1699602169
Provider Name (Legal Business Name): BRIGHTSIDE RECOVERY LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 CURRIE HALL PKWY STE C
KENT OH
44240-4387
US

IV. Provider business mailing address

174 CURRIE HALL PKWY STE C
KENT OH
44240-4387
US

V. Phone/Fax

Practice location:
  • Phone: 330-676-0313
  • Fax:
Mailing address:
  • Phone: 330-676-0313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PHILIP ATTEBERRY
Title or Position: EXECUTIVE VP/CO-FOUNDER
Credential:
Phone: 224-205-7868