Sunrise Children'S Services, INC.
Counselor, Professional in Elizabethtown, KY. Organization (NPI-2).
NPI number1962083014
StatusActive
Last updated in NPPESOct 25, 2022
Details
- NPI
- 1962083014
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunrise Children'S Services, INC.
- Organization subpart
- No
- Enumeration date
- Apr 20, 2021
- Certification date
- Oct 25, 2022
- Last updated
- Oct 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Other names
- Glen Dale Center (Doing Business As)
Practice location
1030 Commerce DrElizabethtown, KY 42701-1281
Phone 270-506-1064
Mailing address
Po Box 1429Mt Washington, KY 40047-1429
Phone 502-538-1000 · Fax 502-538-1100
Authorized official
Sharon C' De Baca
Executive Assistant To President
5025381010
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