NPI 1457803645

Starshine Treatment Center, INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility San Bernardino, CA

Practice location

Address: 731 E 40th St, San Bernardino, CA 92404-1448
Phone: (909) 881-4915
Fax: (909) 882-1282
Mailing address: 460 S Stoddard Ave STE 1&3, San Bernardino, CA 92401-2001

Authorised official

Name: James Pace
Title: Executive Director
Phone: (909) 882-7978

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 360910260 (CA)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in California →

Registry record

NPI: 1457803645
Entity type: Organization
NPI issued: 4 Nov 2016
Record last updated: 2 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.