# STARRVISTA, INC

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

## Provider details

- **NPI number:** 1235415316
- **Authorized official:** MR. WILLIAM CHUCK JACKSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (313) 387-1238

## Contact information

- **Practice address:** 22390 W 7 MILE RD, DETROIT, MI 48219-1849
- **Practice address phone:** (313) 387-6000
- **Practice address fax:** (313) 387-0760
- **Mailing address:** 22390 W 7 MILE RD, DETROIT, MI 48219-1849
- **Mailing address phone:** (313) 387-6000
- **Mailing address fax:** (313) 387-0760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/02/2011
- **Last updated:** 11/02/2011