Sunrise Counseling Center | |
830 W 17th St Bloomington IN 47404-3334 | |
(812) 330-8183 | |
(812) 330-9682 |
Full Name | Sunrise Counseling Center |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 830 W 17th St, Bloomington, Indiana |
Authorized Official Name and Position | Warren Eugene Matthias (CEO/OWNER) |
Authorized Official Contact | 8123308183 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunrise Counseling Center 830 W 17th St Bloomington IN 47404-3334 Ph: (812) 330-8183 | Sunrise Counseling Center 830 W 17th St Bloomington IN 47404-3334 Ph: (812) 330-8183 |
NPI Number | 1154300291 |
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Provider Enumeration Date | 01/16/2006 |
Last Update Date | 04/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154300291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | REF #: 1283-0-ASO (Indiana) | Primary |
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