Provider Demographics
NPI:1346577202
Name:SUNRISE DETOX II
Entity Type:Organization
Organization Name:SUNRISE DETOX II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF NURSE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-951-8341
Mailing Address - Street 1:1272 LONG HILL RD
Mailing Address - Street 2:
Mailing Address - City:STIRLING
Mailing Address - State:NJ
Mailing Address - Zip Code:07980-1010
Mailing Address - Country:US
Mailing Address - Phone:908-504-2700
Mailing Address - Fax:
Practice Address - Street 1:1272 LONG HILL RD
Practice Address - Street 2:
Practice Address - City:STIRLING
Practice Address - State:NJ
Practice Address - Zip Code:07980-1010
Practice Address - Country:US
Practice Address - Phone:908-504-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1000103276400000X
320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness