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 Clinic/Center (Licence: TX L1620) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2008-03-10 |