Organization
STAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA AVERILL BCBA (CLINICAL DIRECTOR)
(843) 654-5000
Entity
Organization
Contact information
Practice address
1864 GREENMORE DR, CHARLESTON, SC 29407-3520
(843) 654-5000
Mailing address
1864 GREENMORE DR, CHARLESTON, SC 29407-3520
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-15-19527
SC
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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