| Starr Child Foundation | |
|
100 Wilshire Blvd Ste 700 Santa Monica CA 90401-3602 | |
| (310) 917-1054 | |
| Not Available |
| Full Name | Starr Child Foundation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 Wilshire Blvd Ste 700, Santa Monica, California |
| Authorized Official Name and Position | Jamil Al-amin Ward (PRESIDENT) |
| Authorized Official Contact | 3109171054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starr Child Foundation 100 Wilshire Blvd Ste 700 Santa Monica CA 90401-3602 Ph: (310) 917-1054 | Starr Child Foundation 100 Wilshire Blvd Ste 700 Santa Monica CA 90401-3602 Ph: (310) 917-1054 |
| NPI Number | 1376249367 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 02/01/2023 |
| Certification Date | 02/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376249367 | NPI | - | NPPES |
| 1144936014 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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