SUNRISE TREATMENT CENTER - MILFORD NPI 1790242675

NPI Information

NPI: 1790242675
Provider Name: SUNRISE TREATMENT CENTER - MILFORD
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 36D2162829

Address:
25 WHITNEY DR
MILFORD, OH
ZIP 45150
Phone: (513) 941-4999
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SUNRISE TREATMENT CENTER - MILFORD is a rehabilitation and substance use disorder clinic center in Milford, OH. SUNRISE TREATMENT CENTER - MILFORD NPI is 1790242675. The provider is registered as an organization entity type.

The provider's business location address is:

25 WHITNEY DR
MILFORD, OH
ZIP 45150-402
Phone: (513) 941-4999

The provider's authorized official is Steven Henry. Smith .
The authorized official title is Coo and has the following contact phone number (513) 372-5923.

The CLIA number assigned to this NPI record is 36D2162829 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2019 and was last updated on 3/24/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0313320	MEDICAID	OHIO
2	0078786	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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