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Organization

SUNRISE TREATMENT CENTER, LLC

Active
Other names
SUNRISE TREATMENT CENTER, LLC CORPORATE OFFICE (KY AODE), Sunrise Treatment Center
Organization subpart
No

Provider details

NPI number
Authorized official
RANDY SCOTT SPAULDING (CREDENTIALING)
(513) 941-4999
Entity
Organization

Contact information

Practice address
6460 HARRISON AVE. SUITE 200, CINCINNATI, OH 45247-7957
(513) 467-2825
Mailing address
6460 HARRISON AVE. SUITE 200, CINCINNATI, OH 45247-7957
(513) 467-2825

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100776770
KY
Enumeration date
09/21/2021
Last updated
08/30/2024
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