Healthcare Provider Details

I. General information

NPI: 1265837280
Provider Name (Legal Business Name): SUNSHINE TREATMENT INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2014
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4821 E MCNICHOLS RD
DETROIT MI
48212-1730
US

IV. Provider business mailing address

4821 E MCNICHOLS RD
DETROIT MI
48212-1730
US

V. Phone/Fax

Practice location:
  • Phone: 313-368-4600
  • Fax:
Mailing address:
  • Phone: 313-826-6063
  • Fax: 313-826-6062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License NumberSA0822928
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number4301049546
License Number StateMI

VIII. Authorized Official

Name: PAMELA GAIL MURRAY
Title or Position: PROGRAM DIRECTOR
Credential: LMSW
Phone: 313-826-6063