| Valley Star Community Services One Stop Tay Center | |
|
58471 29 Palms Hwy Ste 101-102 Yucca Valley CA 92284-5818 | |
| (760) 853-4888 | |
| Not Available |
| Full Name | Valley Star Community Services One Stop Tay Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 58471 29 Palms Hwy Ste 101-102, Yucca Valley, 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 |
|---|---|
| Valley Star Community Services One Stop Tay Center 1501 Hughes Way Suite 150 Long Beach CA 90810-1878 Ph: (310) 221-6336 | Valley Star Community Services One Stop Tay Center 58471 29 Palms Hwy Ste 101-102 Yucca Valley CA 92284-5818 Ph: (760) 853-4888 |
| NPI Number | 1457731606 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457731606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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