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
4 CLARK ST, EASTPORT, ME 04631-1036
(207) 853-4540
Mailing address
PO BOX 88, MACHIAS, ME 04654-0088
(207) 255-8596
(207) 255-8022
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
225422
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115490103
—
ME
Enumeration date
12/18/2006
Last updated
02/05/2024
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