# SUNNY SIDE GROUP HOME LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962237297
- **Authorized official:** MR. MICHAEL ANDRE ROBINSON II (OWNER)
- **Authorized official phone:** (202) 880-5147

## Contact information

- **Practice address:** 252 W CARIBBEAN DR, CASA GRANDE, AZ 85122-4998
- **Practice address phone:** (202) 880-5147
- **Mailing address:** 252 W CARIBBEAN DR, CASA GRANDE, AZ 85122-4998
- **Mailing address phone:** (202) 880-5147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2024
- **Last updated:** 09/05/2024