Organization
SUNRISE CHILDREN'S SERVICES, INC.
Active
Other names
New Start Adolescent Addiction Treatment 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
491 NEW START RD, BRONSTON, KY 42518-8572
(606) 561-5797
(606) 561-9928
Mailing address
PO BOX 1429, MT WASHINGTON, KY 40047-1429
(502) 538-1000
(502) 538-1100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
11/04/2022
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