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VALLEY STAR BEHAVIORAL HEALTH INC. NPI 1902393317


NPI Information

NPI: 1902393317
Provider Name: VALLEY STAR BEHAVIORAL HEALTH, INC.

Doing Business As: VALLEY STAR CRT - DESERT HILL

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 05D2155726

Address:
16552 SUNHILL DRIVE
VICTORVILLE, CA
ZIP 92395
Phone: (760) 780-4400
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VALLEY STAR BEHAVIORAL HEALTH, INC. is a community based residential treatment facility mental illness in Victorville, 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 1902393317. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley Star Crt - Desert Hill.

The provider's business location address is:

16552 SUNHILL DRIVE
VICTORVILLE, CA
ZIP 92395-001
Phone: (760) 780-4400

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 CLIA number assigned to this NPI record is 05D2155726 - other - crisis residential with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2018 and was last updated on 11/8/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 5/5/2024

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