Organization Name: | SUMMER HOUSE |
NPI Number: | 1245698935 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMIE BALL (COMPLIANCE AND UR MANAGER) |
Mailing Address: | 16056 Elderly Ln Timberville |
State: | VA US |
Postal Code: | 228532922 |
Phone Number: | 8046123312 |
Fax Number: | 8042765739 |
NPI Enumeration Date: | 02/09/2016 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |