| Organization Name: | SUNRISE PSYCHOLOGICAL SERVICES INC |
| NPI Number: | 1356441216 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CONSTANCE ARIA (PRESIDENT) |
| Mailing Address: | 997 N Collier Blvd Suite D Marco Island |
| State: | FL US |
| Postal Code: | 341452773 |
| Phone Number: | 2393945599 |
| Fax Number: | 2393945599 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 12/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | PY3245 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |