OrganizationActive
Sunrise Children'S Services, Inc.
NPI 1821432394 · Emotionally Disturbed Childrens' Residential Treatment Facility · Elizabethtown, KY
Provider details
- NPI number
- 1821432394
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sharon C' De Baca, Executive Assistant to President(502) 538-1010
- License
- 500024 (KY)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1030 Commerce Dr
Elizabethtown, KY 42701
Phone: (270) 506-1064
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1429
Mt Washington, KY 40047-1429
Other names (DBA / former)
- Doing business as
- Glen Dale Center
- Doing business as
- Glen Dale Center
Registry dates
- Enumerated
- 2013-04-26
- Last updated
- 2022-10-25
- Certified
- 2022-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.