Provider Demographics
NPI:1508603309
Name:SUNNY SIDE BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:SUNNY SIDE BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:717-873-1270
Mailing Address - Street 1:10485 FOUST RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:17327-8325
Mailing Address - Country:US
Mailing Address - Phone:717-873-1270
Mailing Address - Fax:717-840-9488
Practice Address - Street 1:10485 FOUST RD
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:PA
Practice Address - Zip Code:17327-8325
Practice Address - Country:US
Practice Address - Phone:717-873-1270
Practice Address - Fax:717-840-9488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty