Organization
SUMMIT CAMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH LOVE MS (ASSISTANT DIRECTOR)
(570) 253-4381
Entity
Organization
Contact information
Practice address
168 DUCK HARBOR RD, HONESDALE, PA 18431-6608
(570) 253-4381
Mailing address
168 DUCK HARBOR RD, HONESDALE, PA 18431-6608
(570) 253-4381
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
385HR2050X
Respite Care Camp
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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