Summit Residential

LBN: Intermountain Centers For Human Development Inc.
Summit Residential is an health care organization with primary practice located at 2502 N Dodge Blvd Ste 190A , Tucson AZ 85716-2671. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Substance Abuse Treatment, Children is the primary health care specialty. Intermountain Centers For Human Development Inc. can be contacted via phone (520) 618-8800, or through Lopez, Rose via phone (520) 721-1887.

Contact Information

Primary practice address
2502 N Dodge Blvd Ste 190A Tucson AZ 85716-2671
Phone: (520) 618-8800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Rose MBA, CPA
Phone: (520) 721-1887

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH-4537 Arizona
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1497135669
LBN Legal business name Intermountain Centers For Human Development Inc.
DBA Doing business as Summit Residential
Authorized official Lopez, Rose MBA, CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2015
Last updated Dec 19th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497135669 NPPES
Arizona Other BH9011 STATE LICENSE

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