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Organization

SUMMIT LEADERSHIP ACADEMY - HIGH DESERT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS DESIREE GARDNER (DIRECTOR, BUSINESS SERVICES)
(760) 949-9202
Entity
Organization

Contact information

Practice address
12850 MUSCATEL ST, HESPERIA, CA 92344-5566
(760) 949-0202
(760) 949-9257
Mailing address
12850 MUSCATEL ST, HESPERIA, CA 92344-5566
(760) 949-0202
(760) 949-9257

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
261Q00000X
Clinic/Center
36-75044
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36-75044
CA
Enumeration date
08/08/2017
Last updated
07/21/2022
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