| Organization Name: | SUNRISE BEHAVIORAL HEALTH LLC |
| NPI Number: | 1396016036 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIN WILLIAMS (CO-OWNER) |
| Mailing Address: | 8913 N 114th Dr Peoria |
| State: | AZ US |
| Postal Code: | 853453461 |
| Phone Number: | 6232436434 |
| Fax Number: | 6232436201 |
| NPI Enumeration Date: | 01/25/2012 |
| NPI Last Update Date: | 01/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | BH3972 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |