Organization
SUNRISE CHILDREN'S SERVICES, INC.
Active
Other names
Woodlawn PRTF West
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE N MERTZ (OPERATIONS ANALYST)
(502) 538-1000
Entity
Organization
Contact information
Practice address
400 CUNNINGHAM WAY, DANVILLE, KY 40422
(859) 236-5507
(859) 236-7044
Mailing address
300 HOPE ST, MT WASHINGTON, KY 40047-7757
(502) 538-1000
(502) 538-1100
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
950017
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100053350
—
KY
Enumeration date
11/23/2007
Last updated
08/28/2018
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