Organization
RESIDENTIAL CARE AT THE SUMMIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI NOLEN (BUSINESS MANAGER)
(682) 472-2869
Entity
Organization
Contact information
Practice address
2501 E SEMINARY DR, FORT WORTH, TX 76119-5602
(817) 882-6200
Mailing address
PO BOX 15836, FORT WORTH, TX 76119-0836
(817) 882-6200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389729
CARF
—
Enumeration date
04/04/2024
Last updated
02/12/2025
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