Provider Demographics
NPI:1164467213
Name:SUNNY DAYS COMMUNITY MENTAL HEALTH CENTER INC
Entity Type:Organization
Organization Name:SUNNY DAYS COMMUNITY MENTAL HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:
Authorized Official - Last Name:PRADERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-981-2200
Mailing Address - Street 1:1440 J F KENNEDY CSWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4130
Mailing Address - Country:US
Mailing Address - Phone:305-981-2200
Mailing Address - Fax:305-981-2211
Practice Address - Street 1:1440 J F KENNEDY CSWY
Practice Address - Street 2:SUITE 130
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4130
Practice Address - Country:US
Practice Address - Phone:305-981-2200
Practice Address - Fax:305-981-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-1441Medicare ID - Type UnspecifiedCMHC