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Organization

STARNEST LIVING, LLC

Active
Other names
StarNest Living
Organization subpart
No

Provider details

NPI number
Authorized official
CASSANDRA HAMILTON (COACH/CEO)
(872) 268-8711
Entity
Organization

Contact information

Practice address
10540 S WESTERN AVE, CHICAGO, IL 60643-2536
(872) 268-8711
Mailing address
10143 S BEVERLY AVE, CHICAGO, IL 60643-1347
(773) 383-2108

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
05/20/2022
Last updated
10/26/2022
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