| Sunrise Behavioral Health Services Llc | |
|
39 Country Club Ln Brockton MA 02301-7098 | |
| (508) 308-3736 | |
| Not Available |
| Full Name | Sunrise Behavioral Health Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 39 Country Club Ln, Brockton, Massachusetts |
| Authorized Official Name and Position | Clare E Katuramu (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5083083736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Behavioral Health Services Llc 39 Country Club Ln Brockton MA 02301-7098 Ph: (508) 308-3736 | Sunrise Behavioral Health Services Llc 39 Country Club Ln Brockton MA 02301-7098 Ph: (508) 308-3736 |
| NPI Number | 1073000121 |
|---|---|
| Provider Enumeration Date | 04/15/2018 |
| Last Update Date | 04/15/2018 |
| Medicare PECOS PAC ID | 9537403274 |
|---|---|
| Medicare Enrollment ID | O20181206000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073000121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Clare E Katuramu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245559780 PECOS PAC ID: 9436387438 Enrollment ID: I20140121001944 |
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