Provider Demographics
NPI:1417039686
Name:S.T.A.R. - STAND TOGETHER AND RECOVER CENTERS, INC.
Entity Type:Organization
Organization Name:S.T.A.R. - STAND TOGETHER AND RECOVER CENTERS, INC.
Other - Org Name:STAR CENTRAL
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-231-0071
Mailing Address - Street 1:PO BOX 61358
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85082-1358
Mailing Address - Country:US
Mailing Address - Phone:602-231-0071
Mailing Address - Fax:602-231-0334
Practice Address - Street 1:2144 E ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-3830
Practice Address - Country:US
Practice Address - Phone:602-685-1295
Practice Address - Fax:602-685-1298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCSA06ADHS0058251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health