| NPI | 1811664022 |
|---|---|
| Former Legal Business Name | SUMMIT PSYCHOTHERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | HILLARY SUNDERLAND Owner 970-200-8563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2023-04-12 |