Organization
SUMMIT IPO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD GARRETT (THERAPIST)
(702) 479-3008
Entity
Organization
Contact information
Practice address
3651 LINDELL RD # D622, LAS VEGAS, NV 89103-1254
(702) 479-3008
Mailing address
3651 LINDELL RD # D622, LAS VEGAS, NV 89103-1254
(702) 479-3008
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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