# FUTURE STARS YOUTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104565167
- **Authorized official:** DANETTE SEAY (PROGRAM DIRECTOR)
- **Authorized official phone:** (951) 453-6979

## Contact information

- **Practice address:** 2145 NICE AVE, MENTONE, CA 92359-9643
- **Practice address phone:** (909) 810-1481
- **Mailing address:** PO BOX 981, CALIMESA, CA 92320-0981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2022
- **Last updated:** 08/31/2023