Organization
THE FOUNDATION FOR THE STARS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRUDY PARKS (EXECUTIVE DIRECTOR)
(702) 289-0157
Entity
Organization
Contact information
Practice address
3708 WATERHOLE ST, LAS VEGAS, NV 89130-2907
(702) 289-0157
(702) 302-5026
Mailing address
3708 WATERHOLE ST, LAS VEGAS, NV 89130-2907
(702) 289-0157
(702) 302-5026
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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