| Sunrise Behavioral Health Services Llc | |
|
11 Dundar Rd Springfield NJ 07081-3553 | |
| (908) 418-7920 | |
| Not Available |
| Full Name | Sunrise Behavioral Health Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11 Dundar Rd, Springfield, New Jersey |
| Authorized Official Name and Position | Emmanuel Okey Anyanwu (APN) |
| Authorized Official Contact | 9084187920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Behavioral Health Services Llc 11 Dundar Rd Springfield NJ 07081-3553 Ph: (908) 418-7920 | Sunrise Behavioral Health Services Llc 11 Dundar Rd Springfield NJ 07081-3553 Ph: (908) 418-7920 |
| NPI Number | 1053988923 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
| Certification Date | 06/08/2021 |
| Medicare PECOS PAC ID | 1052702776 |
|---|---|
| Medicare Enrollment ID | O20220106001074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053988923 | NPI | - | NPPES |
| 0601225 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Emmanuel O Anyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912417130 PECOS PAC ID: 2264792852 Enrollment ID: I20180130000644 |
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