Starshine Treatment Center INC.
Residential Treatment Facility, Emotionally Disturbed Children in San Bernardino, CA. Organization (NPI-2).
NPI number1003368655
StatusActive
Last updated in NPPESOct 31, 2016
Details
- NPI
- 1003368655
- Entity type
- Organization (NPI-2)
- Legal business name
- Starshine Treatment Center INC.
- Organization subpart
- No
- Enumeration date
- Oct 31, 2016
- Last updated
- Oct 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | Yes |
Practice location
1255 E Highland AveSte 215
San Bernardino, CA 92404-6804
Phone 909-882-7978
Mailing address
1255 E Highland AveSte 215
San Bernardino, CA 92404-6804
Phone 909-882-7978
Authorized official
James Pace
Executive Director
9098827978
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