| Valley Star Cfs-mentone | |
|
9355 Opal Ave Mentone CA 92359-9605 | |
| (510) 635-9705 | |
| Not Available |
| Full Name | Valley Star Cfs-mentone |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9355 Opal Ave, Mentone, 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 Cfs-mentone 9355 Opal Ave Mentone CA 92359-9605 Ph: () - | Valley Star Cfs-mentone 9355 Opal Ave Mentone CA 92359-9605 Ph: (510) 635-9705 |
| NPI Number | 1265610091 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265610091 | NPI | - | NPPES |
| 308-CA20070329-TEMP | Other | CA | CONDITIONAL LANUSE PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Lovene Therapeutic Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 Venice Ave, Mentone, CA 92359 Phone: 541-990-0550 |