Summer Street Community Services, INC
NPI #1962843052 in Adairsville, Georgia
Provider Information
- NPI Number
- 1962843052
- Entity Type
- Organization
- Organization Name
- Summer Street Community Services, INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 17, 2013
- Last Updated
- Jun 17, 2014
Practice Location
- Address
- 132 SUMMER ST
- City
- Adairsville
- State
- Georgia
- ZIP Code
- 30103-2958
- Phone
- (770) 773-1904
Authorized Official
- Name
- JACKIE LYNN SHAIN
- Title
- DIRECTOR
- Phone
- (503) 949-0531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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