| NPI | 1194502047 |
|---|---|
| Doing Business As | SUNRISE MADISON CHILDREN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | MITZI MORAN CEO 370-350-4606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2025-11-13 |