Provider Demographics
NPI:1619187838
Name:SUNRISE COMMUNITY MENTAL HEALTH
Entity Type:Organization
Organization Name:SUNRISE COMMUNITY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:ALSOBROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-330-3113
Mailing Address - Street 1:9419 COMPTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-4805
Mailing Address - Country:US
Mailing Address - Phone:713-330-3113
Mailing Address - Fax:713-330-0037
Practice Address - Street 1:9419 COMPTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-4805
Practice Address - Country:US
Practice Address - Phone:713-330-3113
Practice Address - Fax:713-330-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health