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Organization

STAR, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA SHILOH (OWNER)
(949) 322-6316
Entity
Organization

Contact information

Practice address
246 CAROLINIAN DR, SUMMERVILLE, SC 29485-7854
(949) 322-6316
Mailing address
246 CAROLINIAN DR, SUMMERVILLE, SC 29485-7854

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/11/2008
Last updated
09/11/2008
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