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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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