Organization
SUMMIT HILLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD LEWIS HAIRSTON (OWNER OPERATOR)
(919) 673-6928
Entity
Organization
Contact information
Practice address
7213 SEXTONS CREEK DR, RALEIGH, NC 27614-7198
(919) 673-6928
Mailing address
7213 SEXTONS CREEK DR, RALEIGH, NC 27614-7198
(919) 673-6928
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-079-107
NC
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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