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STARLIGHT ADOLESCENT CENTER NPI 1396913349


NPI Information

NPI: 1396913349
Provider Name: STARLIGHT ADOLESCENT CENTER
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
5824 CHRIS DR
SAN JOSE, CA
ZIP 95123
Phone: (408) 224-4458
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STARLIGHT ADOLESCENT CENTER is a psychiatric hospital in San Jose, CA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. STARLIGHT ADOLESCENT CENTER NPI is 1396913349. The provider is registered as an organization entity type.

The provider's business location address is:

5824 CHRIS DR
SAN JOSE, CA
ZIP 95123-501
Phone: (408) 224-4458
Fax: (408) 224-4458

The provider's authorized official is Abu Torab Zakir .
The authorized official title is Licensed Vocational Nurse and has the following contact phone number (408) 224-4458.

The enumeration date for this NPI number is 2/12/2008 and was last updated on 2/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric HospitalVN 231676CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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