Active NPI
Sunrise Detox Millbury Ma, LLC
- Mental Illness Community Based Residential Treatment Facility
- Millbury, MA
National Provider Identifier
1538009170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- SUNRISE DETOX MILLBURY MA, LLC
- Practice address
- 29 Main St Ste 200
Millbury, MA 01527-2005 - Phone
- (508) 581-5225
- NPI assigned
- Apr 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mathias Deutsch
- Title
- Authorized Official
- Phone
- (732) 684-4749
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
29 Main St Ste 200
Millbury, MA 01527-2005
Mailing address
PO Box 1575
Lakewood, NJ 08701-1018
National Provider Directory
National Provider DirectoryLocations
29 Main St
Ste 200
Millbury, MA 01527
Phone (508) 581-5225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1538009170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1575",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 MAIN ST STE 200",
"city": "MILLBURY",
"state": "MA",
"postal_code": "015272005",
"telephone_number": "508-581-5225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE DETOX MILLBURY MA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-01",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "DEUTSCH",
"authorized_official_first_name": "MATHIAS",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "732-684-4749"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.