| NPI | 1679073712 |
|---|---|
| Doing Business As | SUMMIT RESIDENTIAL SOUTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SEWITSKY Finance Director 541-858-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |