| Starlight Community Services, Inc. | |
|
1750 S White Rd San Jose CA 95127-4760 | |
| (408) 937-2800 | |
| Not Available |
| Full Name | Starlight Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1750 S White Rd, San Jose, 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 |
|---|---|
| Starlight Community Services, Inc. 6203 San Ignacio Ave Ste 150 San Jose CA 95119-1371 Ph: (408) 937-2800 | Starlight Community Services, Inc. 1750 S White Rd San Jose CA 95127-4760 Ph: (408) 937-2800 |
| NPI Number | 1427810936 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427810936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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