Organization
SUNSHINE TCM CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YADIRA LOPEZ CBHCM (PRESIDENT AND EXECUTIVE DIRECTOR)
(239) 405-8935
Entity
Organization
Contact information
Practice address
4061 BONITA BEACH RD, BONITA SPRINGS, FL 34134-4074
(239) 405-8935
Mailing address
4061 BONITA BEACH RD, BONITA SPRINGS, FL 34134-4074
(239) 405-8935
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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