Provider Demographics
NPI:1518195791
Name:SUNLIGHT BEHAVIOR CENTER, INC
Entity Type:Organization
Organization Name:SUNLIGHT BEHAVIOR CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHMAAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-864-2443
Mailing Address - Street 1:2030 HOKE LOOP RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-6495
Mailing Address - Country:US
Mailing Address - Phone:910-864-2443
Mailing Address - Fax:910-864-2804
Practice Address - Street 1:2030 HOKE LOOP RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-6495
Practice Address - Country:US
Practice Address - Phone:910-864-2443
Practice Address - Fax:910-864-2804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL026777251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health