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General NPI Number Information
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NPI Number | 1043159148
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Entity Type | Organization
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Legal Business Name | SUNNYSIDE BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 3623 FALLS RD
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City | BALTIMORE
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State | MD
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Zip | 21211-1815
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Country | US
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Telephone | 443-915-9061
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Fax |
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Provider Business Mailing Address
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Address Line | 3623 FALLS RD
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City | BALTIMORE
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State | MD
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Zip | 21211-1815
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Country | US
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Telephone | 443-915-9061
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RODNEY BROOKS
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Credential |
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Telephone | 443-970-0281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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