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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
(510) 352-3120
Mailing address
400 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4999
(510) 352-9200
(510) 352-3120
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8195
ACBHCS PROVIDER
CA
Enumeration date
12/28/2006
Last updated
02/05/2025
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