Provider Demographics
NPI:1891007118
Name:SUNRISE-AMANECER, INC.
Entity Type:Organization
Organization Name:SUNRISE-AMANECER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST / PRESIDENT, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NAVARRETE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:413-781-3727
Mailing Address - Street 1:19 MILFORD ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1332
Mailing Address - Country:US
Mailing Address - Phone:413-781-3727
Mailing Address - Fax:413-734-8192
Practice Address - Street 1:19 MILFORD ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1332
Practice Address - Country:US
Practice Address - Phone:413-781-3727
Practice Address - Fax:413-734-8192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-02
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No347C00000XTransportation ServicesPrivate Vehicle