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STARSHINE TREATMENT CENTER INC NPI 1770025926


NPI Information

NPI: 1770025926
Provider Name: STARSHINE TREATMENT CENTER, INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1004 E LYNWOOD DR
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 881-2929
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STARSHINE TREATMENT CENTER, INC is a residential treatment facility emotionally disturbed children in San Bernardino, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. STARSHINE TREATMENT CENTER, INC NPI is 1770025926. The provider is registered as an organization entity type.

The provider's business location address is:

1004 E LYNWOOD DR
SAN BERNARDINO, CA
ZIP 92404-545
Phone: (909) 881-2929
Fax: (909) 882-1282

The provider's authorized official is James Pace .
The authorized official title is Executive Director and has the following contact phone number (909) 882-7978.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 9/2/2021.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children366402532CALIFORNIAYes

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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