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General NPI Number Information
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NPI Number | 1053521740
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Entity Type | Organization
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Legal Business Name | CAMP SUMMIT, INC.
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 270 PRIVATE ROAD 3475
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City | PARADISE
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State | TX
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Zip | 76073-4008
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Country | US
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Telephone | 940-433-3338
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Fax | 940-620-1945
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Provider Business Mailing Address
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Address Line | 17210 CAMPBELL RD STE 180
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City | DALLAS
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State | TX
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Zip | 75252-4203
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Country | US
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Telephone | 972-484-8900
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Fax | 972-620-1945
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICER
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Name | MS. CARLA R. WEILAND
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Credential |
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Telephone | 972-484-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number | 061001
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License Number State | TX
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