Organization
SUNRISE TREATMENT CENTER, LLC
Active
Parent organization
SUNRISE TREATMENT CENTER, LLC
Other names
Sunrise Treatment Center. LLC - Middletown
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNRISE TREATMENT CENTER, LLC
Authorized official
RANDY SPAULDING (CONTRACT & PROVIDER RELATIONS MGR.)
(513) 467-2825
Entity
Organization
Contact information
Practice address
160 N BREIEL BLVD, MIDDLETOWN, OH 45042-3806
(513) 941-4999
(513) 941-7555
Mailing address
6460 HARRISON AVE. SUITE 200, CINCINNATI, OH 45247-7958
(513) 467-2825
(513) 941-7555
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078786
—
OH
05
—
0313320
—
OH
Enumeration date
04/17/2018
Last updated
06/03/2024
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