Organization
SUMMIT ACADEMY MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI NICHOL CARPENTER LSW (BEHAVIOR SPECIALIST)
(419) 476-7859
Entity
Organization
Contact information
Practice address
2913 S REPUBLIC BLVD, TOLEDO, OH 43615-1911
(419) 476-7859
(419) 476-7763
Mailing address
2913 S. REPUBLIC BLVD, TOLEDO, OH 43615-1911
(419) 476-7859
(419) 476-7763
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S.1450770
OH
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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