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NPI Code Detail

MEDICARE: SUMMIT COMMUNITY SERVICES LLC

MEDICARE: SUMMIT COMMUNITY SERVICES LLC
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
1251S00000XCommunity/Behavioral Health Agency
2324500000XSubstance Abuse Rehabilitation Facility
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1598100786
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT COMMUNITY SERVICES LLC
Provider Business Mailing Address
First Line : 3017 W CHARLESTON BLVD STE 70
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1928
Country : US
Telephone Number : 702-823-3910
Fax Number : 702-823-1313
Provider Business Practice Location Address
First Line : 3017 W CHARLESTON BLVD STE 70
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1928
Country : US
Telephone Number : 702-823-3910
Fax Number : 702-823-1313
Authorized Official
Title or Position : DIRECTOR
Name : CYNTHIA CASTILLO
Credential : LCPC
Telephone Number : 702-823-3910
Provider Enumeration Date : 05/02/2013
Last Update Date : 02/20/2024

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Directions to “SUMMIT COMMUNITY SERVICES LLC ” Practice Location

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