Organization
SUNRISE CHILDREN'S SERVICES, INC.
Active
Other names
Glen Dale Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON C' DE BACA (EXECUTIVE ASSISTANT TO PRESIDENT)
(502) 538-1010
Entity
Organization
Contact information
Practice address
1030 COMMERCE DR, ELIZABETHTOWN, KY 42701-1281
(270) 506-1064
Mailing address
PO BOX 1429, MT WASHINGTON, KY 40047-1429
(502) 538-1000
(502) 538-1100
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
10/25/2022
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