Organization
SUMMIT OUTPATIENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GOLDMAN (CEO)
(480) 335-2859
Entity
Organization
Contact information
Practice address
8130 E CACTUS RD STE 510, SCOTTSDALE, AZ 85260-5263
(480) 680-7725
Mailing address
8130 E CACTUS RD STE 510, SCOTTSDALE, AZ 85260-5263
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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