# SUNRISE CHILDREN'S SERVICES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Glen Dale Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821432394
- **Authorized official:** SHARON C' DE BACA (EXECUTIVE ASSISTANT TO PRESIDENT)
- **Authorized official phone:** (502) 538-1010

## Contact information

- **Practice address:** 1030 COMMERCE DR, ELIZABETHTOWN, KY 42701
- **Practice address phone:** (270) 506-1064
- **Mailing address:** PO BOX 1429, MT WASHINGTON, KY 40047-1429
- **Mailing address phone:** (502) 538-1000
- **Mailing address fax:** (502) 538-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 500024 | KY | Yes |

## Other

- **Enumeration date:** 04/26/2013
- **Last updated:** 10/25/2022