Provider Demographics
NPI:1669896189
Name:SUMMIT CENTER
Entity type:Organization
Organization Name:SUMMIT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-939-7500
Mailing Address - Street 1:700 YGNACIO VALLEY RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3849
Mailing Address - Country:US
Mailing Address - Phone:925-939-7500
Mailing Address - Fax:
Practice Address - Street 1:700 YGNACIO VALLEY RD
Practice Address - Street 2:SUITE 320
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3849
Practice Address - Country:US
Practice Address - Phone:925-939-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty