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 |