| Summit Academy Management | |
|
2913 S Republic Blvd Toledo OH 43615-1911 | |
| (419) 476-7859 | |
| (419) 476-7763 |
| Full Name | Summit Academy Management |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2913 S Republic Blvd, Toledo, Ohio |
| Authorized Official Name and Position | Lori Nichol Carpenter (BEHAVIOR SPECIALIST) |
| Authorized Official Contact | 4194767859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Academy Management 2913 S. Republic Blvd Toledo OH 43615-1911 Ph: (419) 476-7859 | Summit Academy Management 2913 S Republic Blvd Toledo OH 43615-1911 Ph: (419) 476-7859 |
| NPI Number | 1447624143 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447624143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | S.1450770 (Ohio) | Primary |
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