Provider Demographics
NPI:1700371028
Name:THE STAR PROJECT
Entity Type:Organization
Organization Name:THE STAR PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECKAH
Authorized Official - Middle Name:BURNS
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-525-3612
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-0005
Mailing Address - Country:US
Mailing Address - Phone:509-525-3612
Mailing Address - Fax:509-524-8152
Practice Address - Street 1:321 WELLINGTON AVE
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2249
Practice Address - Country:US
Practice Address - Phone:509-525-3612
Practice Address - Fax:509-524-8152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management