| NPI | 1699945360 |
|---|---|
| Doing Business As | SUMMIT MENTAL HEALTH CLINIC PA |
| Entity Type | Organization |
| Authorized Contact | FRANCISCA ADA IFESINACHUKWU Medical Director/President 512-732-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: TX L1620) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |