Organization
SUNRISE-AMANECER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SERRANO MSW LCSW (CEO/EXECUTIVE DIRECTOR)
(336) 840-4507
Entity
Organization
Contact information
Practice address
123 S WALNUT CIR, GREENSBORO, NC 27409-2624
(336) 840-4507
Mailing address
4823 YELLOW LOCUST DR, BROWNS SUMMIT, NC 27214-9121
(336) 840-4507
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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