| NPI | 1740025907 |
|---|---|
| Doing Business As | SONNYSIDE THERAPY |
| Entity Type | Organization |
| Authorized Contact | AMELIA SHEW TRINH Owner 859-200-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |