Organization
VALLEY STAR BEHAVIORAL HEALTH, INC.
Active
Other names
Valley Star CRT - 'The Stay'
Organization subpart
No
Provider details
NPI number
Authorized official
KENT DUNLAP (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
(310) 221-6336
Entity
Organization
Contact information
Practice address
780 E GILBERT ST, SAN BERNARDINO, CA 92415-1003
(909) 763-4760
Mailing address
1501 HUGHES WAY, SUITE 150, LONG BEACH, CA 90810-1876
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016029
DEPARTMENT OF MENTAL HEALTH
CA
Enumeration date
12/14/2012
Last updated
12/07/2018
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