Provider Demographics
NPI:1194914044
Name:NEW SUNSHINE MENTAL HEALTH CENTER CORP
Entity type:Organization
Organization Name:NEW SUNSHINE MENTAL HEALTH CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-883-7735
Mailing Address - Street 1:650 PALM AVE
Mailing Address - Street 2:UNIT #4
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4315
Mailing Address - Country:US
Mailing Address - Phone:305-883-7735
Mailing Address - Fax:
Practice Address - Street 1:650 PALM AVE
Practice Address - Street 2:UNIT #4
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4315
Practice Address - Country:US
Practice Address - Phone:305-883-7735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)