Organization
NEW SUNRISE COMMUNITY BEHAVIORAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIRENEE QUESADA (PRESIDENT)
(786) 715-3086
Entity
Organization
Contact information
Practice address
17670 NW 78TH AVE STE 113, HIALEAH, FL 33015-3665
(786) 558-4565
(305) 995-0927
Mailing address
17670 NW 78TH AVE STE 113, HIALEAH, FL 33015-3665
(786) 558-4565
(305) 995-0927
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113524800
—
FL
05
—
124899600
—
FL
Enumeration date
02/28/2022
Last updated
04/29/2025
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