Summit Childrens Residence Center

NPI #1043766595 in Nyack, New York

Provider Information

NPI Number: 1043766595
Entity Type: Organization
Organization Name: Summit Childrens Residence Center
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Aug 25, 2016
Last Updated: Aug 25, 2016

Practice Location

Address: 339 N BROADWAY
City: Nyack
State: New York
ZIP Code: 10960-1522
Phone: (845) 358-7772

Authorized Official

Name: DR. BRUCE GOLDSMITH
Title: DIRECTOR
Phone: (845) 358-7772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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