| Starfish Hiv Project | |
|
78892 Stansbury Ct Palm Desert CA 92211-4020 | |
| (760) 523-9000 | |
| Not Available |
| Full Name | Starfish Hiv Project |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 78892 Stansbury Ct, Palm Desert, California |
| Authorized Official Name and Position | Robert Basque (PRESIDENT) |
| Authorized Official Contact | 7605239000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starfish Hiv Project 78892 Stansbury Ct Palm Desert CA 92211-4020 Ph: (760) 523-9000 | Starfish Hiv Project 78892 Stansbury Ct Palm Desert CA 92211-4020 Ph: (760) 523-9000 |
| NPI Number | 1285378596 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 05/04/2022 |
| Certification Date | 05/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285378596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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