| NPI | 1053150219 |
|---|---|
| Doing Business As | THE SUMMIT |
| Entity Type | Organization |
| Authorized Contact | RONALD OTWORI Owner 518-577-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |