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VALLEY STAR BEHAVIORAL HEALTH INC. NPI 1912651902


NPI Information

NPI: 1912651902
Provider Name: VALLEY STAR BEHAVIORAL HEALTH, INC.

Other Name: VALLEY STAR MLK BEHAVIORAL HEALTH CENTER CRTP

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 05D2276395

Address:
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA
ZIP 90059
Phone: (310) 221-6336
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VALLEY STAR BEHAVIORAL HEALTH, INC. is a community behavioral health in Los Angeles, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. VALLEY STAR BEHAVIORAL HEALTH, INC. NPI is 1912651902. The provider is registered as an organization entity type.
The provider Other Name Is Valley Star Mlk Behavioral Health Center Crtp.

The provider's business location address is:

12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA
ZIP 90059-019
Phone: (310) 221-6336

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 05D2276395 - other - crisis residential treatm with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2022 and was last updated on 3/4/2022.


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
1251S00000XCommunity/Behavioral HealthYes

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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