SUNRISE DETOX CHERRY HILL LLC NPI 1295110179

NPI Information

SUNRISE DETOX CHERRY HILL LLC is a community based residential treatment facility mental illness in Cherry Hill, NJ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SUNRISE DETOX CHERRY HILL LLC NPI is 1295110179. The provider is registered as an organization entity type.

The provider's business location address is:

1417 BRACE RD
CHERRY HILL, NJ
ZIP 08034-524
Phone: (561) 318-4409

The provider's authorized official is James Stokes .
The authorized official title is Ceo and has the following contact phone number (516) 318-4455.

The CLIA number assigned to this NPI record is 31D2097428 - other - res detox pnt of care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2015 and was last updated on 10/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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