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Organization
VALLEY STAR BEHAVIORAL HEALTH, INC.
Active
Organization
VALLEY STAR BEHAVIORAL HEALTH, INC.
Active
Other names
Valley Star Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
KENT DUNLAP (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
(310) 221-6336
Entity
Organization
Contact information
Practice address
1585 SOUTH D STREET, SUITE 101, 205, SAN BERNARDINO, CA 92408-3257
(909) 388-2222
Mailing address
1585 SOUTH D STREET, SUITE 101, 205, SAN BERNARDINO, CA 92408-3257
(909) 388-2222
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204511
CITY OF S.B. BIZ LIC.
CA
01
—
2403428
STATE CORP. #
CA
01
—
36CL
SAN BERNARDINO CTY PROV #
CA
Enumeration date
01/10/2007
Last updated
02/08/2017
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