Provider Demographics
NPI:1558867341
Name:ALL STAR CHILDREN'S FOUNDATION
Entity Type:Organization
Organization Name:ALL STAR CHILDREN'S FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:941-259-3693
Mailing Address - Street 1:3300 17TH ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-8904
Mailing Address - Country:US
Mailing Address - Phone:941-259-3693
Mailing Address - Fax:941-960-1123
Practice Address - Street 1:3300 17TH ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235-8904
Practice Address - Country:US
Practice Address - Phone:941-259-3693
Practice Address - Fax:941-960-1123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-02
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health