Organization
SUNRISE CHILDREN'S SERVICES, INC.
Active
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
330 HOPE ST, MT WASHINGTON, KY 40047-7757
(502) 538-1200
Mailing address
PO BOX 1429, MT WASHINGTON, KY 40047-1429
(502) 538-1000
(502) 538-1100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100274180
—
KY
Enumeration date
08/10/2021
Last updated
10/25/2022
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