Stars Community Services | |
1170 Fargo Ave San Leandro CA 94579-1633 | |
(510) 317-5500 | |
Not Available |
Full Name | Stars Community Services |
---|---|
Speciality | Counselor - School |
Location | 1170 Fargo Ave, San Leandro, California |
Authorized Official Name and Position | Kent Dunlap (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
Authorized Official Contact | 3102216336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stars Community Services 400 Estudillo Ave Ste 100 San Leandro CA 94577-4962 Ph: (510) 352-9200 | Stars Community Services 1170 Fargo Ave San Leandro CA 94579-1633 Ph: (510) 317-5500 |
NPI Number | 1114297322 |
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Provider Enumeration Date | 01/04/2012 |
Last Update Date | 12/14/2022 |
Certification Date | 12/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114297322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YS0200X | Counselor - School | (* (Not Available)) | Primary |
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