| NPI | 1679353932 |
|---|---|
| Other Name | SUNRISE DETOX BRENTWOOD |
| Entity Type | Organization |
| Authorized Contact | JASON USILTON Director Of Rcm 561-318-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-05 |