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A Starr Innovations LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Tempe, AZ. Organization (NPI-2).

NPI number1619541091
StatusActive
Last updated in NPPESDec 6, 2022

Details

NPI
1619541091
Entity type
Organization (NPI-2)
Legal business name
A Starr Innovations LLC
Organization subpart
No
Enumeration date
May 19, 2021
Certification date
Dec 6, 2022
Last updated
Dec 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

2525 S Rural Rd Ste 4n
Tempe, AZ 85282-2442

Phone 219-810-2407

Mailing address

2525 S Rural Rd Ste 4n
Tempe, AZ 85282-2442

Phone 219-810-2407

Authorized official

Angelia Hillard
Director
2198102407

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