| Organization Name: | SUNSHINE HEALTH SERVICE |
| NPI Number: | 1699140285 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOHAMED ADEN (MANAGER) |
| Mailing Address: | 3055 Old Highway 8 Suite # Ll85a Saint Anthony |
| State: | MN US |
| Postal Code: | 554182500 |
| Phone Number: | 6126446723 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2015 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0850X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Mental Health |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |