| Organization Name: | SUNSHINE PSYCHIATRIC SERVICES INC |
| NPI Number: | 1386991826 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAHBOOB AHMAD ASLAM (PRESIDENT) |
| Mailing Address: | 105 West Rd Ellington |
| State: | CT US |
| Postal Code: | 060295700 |
| Phone Number: | 8608715402 |
| Fax Number: | 8608715413 |
| NPI Enumeration Date: | 08/14/2012 |
| NPI Last Update Date: | 08/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 047643 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |