Organization
SUNRISE DETOX DULUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON USILTON (DIRECTOR OF RCM)
(561) 318-4400
Entity
Organization
Contact information
Practice address
3390 N BERKELEY LAKE RD NW, DULUTH, GA 30096-3006
(561) 318-4400
Mailing address
2328 10TH AVE N STE 300, LAKE WORTH, FL 33461-6612
(561) 318-4400
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
10/05/2023
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