Provider Demographics
NPI:1952686636
Name:SUN STATE HEALTH INC
Entity Type:Organization
Organization Name:SUN STATE HEALTH INC
Other - Org Name:SUN STATE BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROJO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-332-0221
Mailing Address - Street 1:255 E DANIA BEACH BLVD
Mailing Address - Street 2:SUITE 228
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-3083
Mailing Address - Country:US
Mailing Address - Phone:855-411-4774
Mailing Address - Fax:877-234-5698
Practice Address - Street 1:255 E DANIA BEACH BLVD
Practice Address - Street 2:SUITE 228
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-3083
Practice Address - Country:US
Practice Address - Phone:855-411-4774
Practice Address - Fax:877-234-5698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health