NPI | 1497135669 |
---|---|
Other Name | SUMMIT RESIDENTIAL |
Entity Type | Organization |
Authorized Contact | ROSE LOPEZ President And CEO 520-721-1887 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-4537) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2023-12-19 |