Provider Demographics
NPI:1942596093
Name:SUNSHINE GROUP
Entity Type:Organization
Organization Name:SUNSHINE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TYSON
Authorized Official - Middle Name:T
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-900-3075
Mailing Address - Street 1:8275 SOUTH EASTERN AVE.
Mailing Address - Street 2:SUITE 200-316
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123
Mailing Address - Country:US
Mailing Address - Phone:702-900-3075
Mailing Address - Fax:
Practice Address - Street 1:8275 SOUTH EASTERN AVE.
Practice Address - Street 2:SUITE 200-316
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123
Practice Address - Country:US
Practice Address - Phone:702-900-3075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health