Organization
SUNRISE OPPORTUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BRENT CASTON (BILLING MANAGER)
(207) 255-0763
Entity
Organization
Contact information
Practice address
26 HADLEY LAKE ROAD, MACHIAS, ME 04654-0088
(207) 255-8596
(207) 255-8022
Mailing address
PO BOX 88, MACHIAS, ME 04654-0088
(207) 255-8596
(207) 255-8022
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
225422
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86Z098359ME01
ANTHEM
ME
Enumeration date
04/17/2007
Last updated
02/05/2024
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