| Sunrise Counseling Center | |
|
830 W 17th St Bloomington IN 47404-3334 | |
| (812) 330-8183 | |
| (812) 330-9682 |
| Full Name | Sunrise Counseling Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 830 W 17th St, Bloomington, Indiana |
| Authorized Official Name and Position | Warren Eugene Matthias (CEO/OWNER) |
| Authorized Official Contact | 8123308183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Counseling Center 830 W 17th St Bloomington IN 47404-3334 Ph: (812) 330-8183 | Sunrise Counseling Center 830 W 17th St Bloomington IN 47404-3334 Ph: (812) 330-8183 |
| NPI Number | 1154300291 |
|---|---|
| Provider Enumeration Date | 01/16/2006 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154300291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | REF #: 1283-0-ASO (Indiana) | Primary |
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