NPI | 1427109560 |
---|---|
Doing Business As | POLLY SUMMIT |
Entity Type | Organization |
Authorized Contact | E DOUGLAS VARNEY President And CEO 423-467-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 315-01-002) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 315-01-002) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-08-22 |