| NPI | 1649049792 |
|---|---|
| Doing Business As | INTERCEPT HEALTH |
| Other Name | SUMMIT WEST |
| Entity Type | Organization |
| Authorized Contact | MARIA ELENA WEAVER Office Manager 540-523-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |