Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SUBACUTE TREATMENT FOR ADOLESCENT REHABILITATION SERVICES, INC.
Active
Organization
SUBACUTE TREATMENT FOR ADOLESCENT REHABILITATION SERVICES, INC.
Active
Other names
Stars 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
400 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4999
(510) 352-9200
Mailing address
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577-4962
(510) 352-9200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07DF
CONTRA COSTA PROVIDER #
CA
01
—
2006-40002112
CITY OF RICHMOND BIZ LIC
CA
01
—
97392
CONTRA COSTA CNTY RPT #
CA
Enumeration date
03/19/2007
Last updated
12/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up