# SUNRISE MENTAL HEALTH SERVICE CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497266415
- **Authorized official:** NATACHA VALDES (OWNER)
- **Authorized official phone:** (786) 217-5427

## Contact information

- **Practice address:** 100 NW 82ND AVE STE 402, PLANTATION, FL 33324-1835
- **Practice address phone:** (954) 530-7895
- **Practice address fax:** (754) 223-3260
- **Mailing address:** 100 NW 82ND AVE STE 402, PLANTATION, FL 33324-1835
- **Mailing address phone:** (954) 530-7895
- **Mailing address fax:** (754) 223-3260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2017
- **Last updated:** 10/17/2017
