Whalio Doctors

NPI 1811343445

Starshine Treatment Center, INC

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

Practice location

Address
460 S Stoddard Ave STE 1&3, San Bernardino, CA 92401-2001
Phone
(909) 882-7978
Fax
(909) 882-1282
Mailing address
460 S Stoddard Ave STE 1&3, San Bernardino, CA 92401-2039

Authorised official

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

Registered specialties (5)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 360910260 (CA)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 360910261 (CA)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 360911127 (CA)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 366402532 (CA)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X

Registry record

NPI
1811343445
Entity type
Organization
NPI issued
12 May 2016
Record last updated
20 Apr 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.