Provider Demographics
NPI:1164113874
Name:BRIGHT MIND COMMUNITY SERVICES INC
Entity Type:Organization
Organization Name:BRIGHT MIND COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HRIPSIME
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-292-4546
Mailing Address - Street 1:1318 SAN GABRIEL BLVD
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-4240
Mailing Address - Country:US
Mailing Address - Phone:818-292-4546
Mailing Address - Fax:
Practice Address - Street 1:1318 SAN GABRIEL BLVD
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-4240
Practice Address - Country:US
Practice Address - Phone:818-292-4546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)