Organization
SUMMER HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON KAMENCIK (CFO)
(804) 864-1320
Entity
Organization
Contact information
Practice address
16056 ELDERLY LN, TIMBERVILLE, VA 22853-2922
(804) 612-3312
(804) 276-5739
Mailing address
5511 STAPLES MILL RD, STE 102, RICHMOND, VA 23228-5445
(804) 612-3312
(804) 276-5739
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/09/2016
Last updated
09/24/2020
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