NPI 1245698935
Summer House
Practice location
- Address
- 16056 Elderly Ln, Timberville, VA 22853-2922
- Phone
- (804) 612-3312
- Fax
- (804) 276-5739
- Mailing address
- 5511 Staples Mill Rd STE 102, Richmond, VA 23228-5445
Authorised official
- Name
- Don Kamencik
- Title
- Cfo
- Phone
- (804) 864-1320
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1245698935
- Entity type
- Organization
- NPI issued
- 9 Feb 2016
- Record last updated
- 24 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.