Organization
STARSHINE TREATMENT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BERNARD PACE PH.D. (EXECUTIVE DIRECTOR)
(909) 882-7978
Entity
Organization
Contact information
Practice address
460 S STODDARD AVE STE 1&3, SAN BERNARDINO, CA 92401-2001
(909) 882-7978
(909) 882-1282
Mailing address
460 S STODDARD AVE STE 1&3, SAN BERNARDINO, CA 92401-2039
(909) 882-7978
(909) 882-1282
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
360910260
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
360910261
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
360911127
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
366402532
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
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Other
Enumeration date
05/12/2016
Last updated
04/20/2021
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