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NPI Code Detail

MEDICARE: SUNRISE TREATMENT CENTER, LLC

MEDICARE: SUNRISE TREATMENT CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center
2251S00000XCommunity/Behavioral Health Agency
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

General Provider Information

NPI Number : 1598120214
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNRISE TREATMENT CENTER, LLC
Provider Business Mailing Address
First Line : 6460 HARRISON AVE STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7821
Country : US
Telephone Number : 513-941-4999
Fax Number : 513-694-0168
Provider Business Practice Location Address
First Line : 680 NORTHLAND BLVD
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-3248
Country : US
Telephone Number : 513-941-4999
Fax Number : 513-694-0168
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : NICHOLE LAIR
Credential :
Telephone Number : 513-941-4999
Provider Enumeration Date : 12/22/2015
Last Update Date : 06/03/2026

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Directions to “SUNRISE TREATMENT CENTER, LLC ” Practice Location

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