# SUMMIT CHILDRENS RESIDENCE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043766595
- **Authorized official:** DR. BRUCE GOLDSMITH (DIRECTOR)
- **Authorized official phone:** (845) 358-7772

## Contact information

- **Practice address:** 339 N BROADWAY, NYACK, NY 10960-1522
- **Practice address phone:** (845) 358-7772
- **Mailing address:** 339 N BROADWAY, NYACK, NY 10960-1522
- **Mailing address phone:** (845) 358-7772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2016
- **Last updated:** 08/25/2016