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Organization
SUNRISE ADULT AND YOUTH SERVICES INC
Active
Organization
SUNRISE ADULT AND YOUTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETTE LITTLE (CEO)
(704) 465-9387
Entity
Organization
Contact information
Practice address
5624 EXECUTIVE CENTER DR STE 105, CHARLOTTE, NC 28212-8868
(704) 967-9826
Mailing address
5033 EL MOLINO DR, CHARLOTTE, NC 28214-2061
(704) 967-9826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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