| Organization Name: | SUNBRIDGE HEALTHCARE LLC |
| NPI Number: | 1003853235 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM A. MATHIES (PRESIDENT DIRECTOR) |
| Mailing Address: | 8050 Northview St Boise |
| State: | ID US |
| Postal Code: | 837047126 |
| Phone Number: | 2083270504 |
| Fax Number: | 2083270594 |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 01/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283Q00000X |
| License Number: | 55 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Psychiatric Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |