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Organization
SUNNY SIDE GROUP HOME LLC
Active
Organization
SUNNY SIDE GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANDRE ROBINSON II (OWNER)
(202) 880-5147
Entity
Organization
Contact information
Practice address
252 W CARIBBEAN DR, CASA GRANDE, AZ 85122-4998
(202) 880-5147
Mailing address
252 W CARIBBEAN DR, CASA GRANDE, AZ 85122-4998
(202) 880-5147
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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