Organization
SUMMER SKY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT KELLEY LCDC (PRESIDENT)
(254) 968-2907
Entity
Organization
Contact information
Practice address
1100 N. MCCART STREET, STEPHENVILLE, TX 76401-2430
(254) 968-2907
(254) 968-4509
Mailing address
1100 N. MCCART STREET, STEPHENVILLE, TX 76401-2430
(254) 968-2907
(254) 968-4509
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
179-A
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179-A
DSHS-CHEMICAL DEPENDEN
TX
Enumeration date
09/20/2006
Last updated
08/08/2012
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