Provider Demographics
NPI:1053521740
Name:CAMP SUMMIT, INC.
Entity type:Organization
Organization Name:CAMP SUMMIT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:R
Authorized Official - Last Name:WEILAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-484-8900
Mailing Address - Street 1:2915 LYNDON B JOHNSON FWY
Mailing Address - Street 2:SUITE 185
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7616
Mailing Address - Country:US
Mailing Address - Phone:972-484-8900
Mailing Address - Fax:972-620-1945
Practice Address - Street 1:921 COPPER CANYON RD
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-9704
Practice Address - Country:US
Practice Address - Phone:940-241-2809
Practice Address - Fax:940-241-2126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX061001385HR2050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2050XRespite Care FacilityRespite CareRespite Care Camp