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Organization
STARLIGHT COMMUNITY SERVICES, INC.
Active
Organization
STARLIGHT COMMUNITY SERVICES, INC.
Active
Parent organization
STARLIGHT ADOLESCENT CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
STARLIGHT ADOLESCENT CENTER, INC.
Authorized official
KENT DUNLAP (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
(310) 221-6336
Entity
Organization
Contact information
Practice address
1885 LUNDY AVE, SUITE 223 AND 260, SAN JOSE, CA 95131-1888
(510) 635-9705
Mailing address
1885 LUNDY AVE, SUITE 223 AND 260, SAN JOSE, CA 95131-1888
(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
—
2215524
STATE CORP #
CA
01
—
43AG
SANTA CLARA CTY. MED PROV
CA
Enumeration date
04/03/2008
Last updated
02/02/2025
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