Sunny Side Group Home LLC
NPI #1962237297 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1962237297
- Entity Type
- Organization
- Organization Name
- Sunny Side Group Home LLC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Sep 5, 2024
- Last Updated
- Sep 5, 2024
Practice Location
- Address
- 252 W CARIBBEAN DR
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-4998
- Phone
- (202) 880-5147
Authorized Official
- Name
- MR. MICHAEL ANDRE ROBINSON II
- Title
- OWNER
- Phone
- (202) 880-5147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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