Provider Demographics
NPI:1689057598
Name:SUMMIT COMMUNITY SERVICES
Entity Type:Organization
Organization Name:SUMMIT COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-823-3910
Mailing Address - Street 1:3017 W CHARLESTON BLVD
Mailing Address - Street 2:SUITE 70
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1941
Mailing Address - Country:US
Mailing Address - Phone:702-823-3910
Mailing Address - Fax:702-823-1313
Practice Address - Street 1:3017 W CHARLESTON BLVD
Practice Address - Street 2:SUITE 70
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1941
Practice Address - Country:US
Practice Address - Phone:702-823-3910
Practice Address - Fax:702-823-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health