| Star West | |
|
605 N Central Ave Avondale AZ 85323-1910 | |
| (623) 882-8463 | |
| (623) 932-2737 |
| Full Name | Star West |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 605 N Central Ave, Avondale, Arizona |
| Authorized Official Name and Position | Colleen D Craig (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6022310071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star West 605 N Central Ave Avondale AZ 85323-1910 Ph: (623) 882-8463 | Star West 605 N Central Ave Avondale AZ 85323-1910 Ph: (623) 882-8463 |
| NPI Number | 1720265747 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 11/18/2021 |
| Certification Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720265747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSA07ADHS0058-2 (Arizona) | Primary |
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