Sunrise Treatment Center. Llc - Middletown | |
160 N Breiel Blvd Middletown OH 45042-3806 | |
(513) 941-4999 | |
(513) 941-7555 |
Full Name | Sunrise Treatment Center. Llc - Middletown |
---|---|
Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 160 N Breiel Blvd, Middletown, Ohio |
Authorized Official Name and Position | Randy Spaulding (CONTRACT & PROVIDER RELATIONS MGR.) |
Authorized Official Contact | 5134672825 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sunrise Treatment Center. Llc - Middletown 6460 Harrison Ave. Suite 200 Cincinnati OH 45247-7958 Ph: (513) 467-2825 | Sunrise Treatment Center. Llc - Middletown 160 N Breiel Blvd Middletown OH 45042-3806 Ph: (513) 941-4999 |
NPI Number | 1417444399 |
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Provider Enumeration Date | 04/17/2018 |
Last Update Date | 06/03/2024 |
Certification Date | 06/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417444399 | NPI | - | NPPES |
0313320 | Medicaid | OH | |
0078786 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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