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VALLEY STAR BEHAVIORAL HEALTH INC. NPI 1851637151


NPI Information

NPI: 1851637151
Provider Name: VALLEY STAR BEHAVIORAL HEALTH, INC.

Doing Business As: VALLEY STAR CRT - 'THE STAY'

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
780 E GILBERT ST
SAN BERNARDINO, CA
ZIP 92415
Phone: (909) 763-4760
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VALLEY STAR BEHAVIORAL HEALTH, INC. is a community based residential treatment facility mental illness in San Bernardino, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. VALLEY STAR BEHAVIORAL HEALTH, INC. NPI is 1851637151. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley Star Crt - 'the Stay'.

The provider's business location address is:

780 E GILBERT ST
SAN BERNARDINO, CA
ZIP 92415-003
Phone: (909) 763-4760

The provider's authorized official is Kent Dunlap .
The authorized official title is President And Chief Executive Offic and has the following contact phone number (310) 221-6336.

The enumeration date for this NPI number is 12/14/2012 and was last updated on 12/7/2018.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12016029OTHERCALIFORNIADEPARTMENT OF MENTAL HEALTH

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: 11/14/2023

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