Whalio Doctors

NPI 1770025926

Starshine Treatment Center, INC

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

Practice location

Address
1004 E Lynwood Dr, San Bernardino, CA 92404-2545
Phone
(909) 881-2929
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 366402532 (CA)

Registry record

NPI
1770025926
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.