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NPI Code Detail

MEDICARE: SUMMITVIEW CHILD & FAMILY SERVICES, INC.

MEDICARE: SUMMITVIEW CHILD & FAMILY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency
3322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number : 1902950751
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMITVIEW CHILD & FAMILY SERVICES, INC.
Provider Business Mailing Address
First Line : 4805 GOLDEN FOOTHILL PKWY
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-9651
Country : US
Telephone Number : 530-644-2412
Fax Number : 530-644-8563
Provider Business Practice Location Address
First Line : 4805 GOLDEN FOOTHILL PKWY
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-9651
Country : US
Telephone Number : 530-644-2412
Fax Number : 530-644-8563
Authorized Official
Title or Position : DIRECTOR OF FINANCE & OPERATIONS
Name : COURTNEY TOMBLIN
Credential :
Telephone Number : 530-485-3374
Provider Enumeration Date : 01/22/2007
Last Update Date : 02/07/2025

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Directions to “SUMMITVIEW CHILD & FAMILY SERVICES, INC. ” Practice Location

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