Provider Demographics
NPI:1356477285
Name:STARVIEW COMMUNITY SERVICES
Entity Type:Organization
Organization Name:STARVIEW COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WRAP AROUND FACILITATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARISELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAZFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:323-384-2126
Mailing Address - Street 1:2850 HYANS ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-4624
Mailing Address - Country:US
Mailing Address - Phone:213-386-5759
Mailing Address - Fax:
Practice Address - Street 1:1085 W. VICTORIA STREET
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220
Practice Address - Country:US
Practice Address - Phone:310-868-5379
Practice Address - Fax:310-868-5397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty