Whalio Doctors

NPI 1245698935

Summer House

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Timberville, VA

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
Residential Treatment Facilities Taxonomy 322D00000X

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.