Provider Demographics
NPI:1801642459
Name:SUNNY MAR BEHAVIORAL CARE INC.
Entity type:Organization
Organization Name:SUNNY MAR BEHAVIORAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARNIULY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUERTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-753-1614
Mailing Address - Street 1:2500 NW 79TH AVE STE 245
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1087
Mailing Address - Country:US
Mailing Address - Phone:305-753-1614
Mailing Address - Fax:
Practice Address - Street 1:2500 NW 79TH AVE STE 245
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1087
Practice Address - Country:US
Practice Address - Phone:305-753-1614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty