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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
15555 E 14TH ST, STE 317, SAN LEANDRO, CA 94578-1900
(510) 635-9705
Mailing address
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577-4962
(510) 635-9705
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38125
CITY OF SAN LEANDRO BUISNESS LICENSE
—
Enumeration date
11/13/2009
Last updated
12/14/2022
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