National Provider Identifier Database

SUNRISE DETOX MILLBURY LLC
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.


Contact Information

SUNRISE DETOX MILLBURY LLC
29 MAIN ST
MILLBURY, MA01527-2005
Phone: 508-581-5225
Fax: 508-865-2823
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for SUNRISE DETOX MILLBURY LLC

NPI Number 1093297673
Legal business name
LBN
SUNRISE DETOX MILLBURY LLC
Authorized official JOSEPH CHELALES - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 08/30/2018
Last updated 10/11/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Other: XX-XXX9587 TIN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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