Organization
VIAQUEST BEHAVIORAL HEALTH, LLC
Active
Other names
Summit Quest Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICH JOHNSON (OWNER PRESIDENT)
(800) 645-9267
Entity
Organization
Contact information
Practice address
1170 S STATE ST, BOX 729, EPHRATA, PA 17522-2601
(800) 441-7345
Mailing address
525 METRO PL N, SUITE 450, DUBLIN, OH 43017-5342
(800) 645-3267
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
306820
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017857260001
—
PA
01
—
5301785726
CBHNP PROVIDER #
PA
05
—
8378401
—
NJ
Enumeration date
11/10/2006
Last updated
08/22/2020
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