Organization
LITTLE STAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EPHRAIM STARR (MEMBER)
(970) 214-7043
Entity
Organization
Contact information
Practice address
3805 SKY RIDGE LN, FORT COLLINS, CO 80526-5404
(970) 214-7043
Mailing address
1275 SILVER TIP LN, EVERGREEN, CO 80439-9704
(970) 214-7043
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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