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Organization
STARLIGHT CTF, INC.
Active
Organization
STARLIGHT CTF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE GROSS MN, RN (PRESIDENT)
(510) 635-9705
Entity
Organization
Contact information
Practice address
455 SILICON VALLEY BLVD, SAN JOSE, CA 95138-1858
(408) 284-9000
Mailing address
455 SILICON VALLEY BLVD, SAN JOSE, CA 95138-1858
(408) 284-9000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1883.08.01
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1883.08.01
DSS PROGRAM
CA
01
—
2089602
STATE BIZ LICENSE
CA
Enumeration date
11/01/2006
Last updated
08/22/2020
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