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Organization
SUMMIT CHILDRENS RESIDENCE CENTER
Active
Organization
SUMMIT CHILDRENS RESIDENCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE GOLDSMITH (DIRECTOR)
(845) 358-7772
Entity
Organization
Contact information
Practice address
339 N BROADWAY, NYACK, NY 10960-1522
(845) 358-7772
Mailing address
339 N BROADWAY, NYACK, NY 10960-1522
(845) 358-7772
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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