Provider Demographics
NPI:1205969797
Name:STIRLING ACADEMY, INC.
Entity type:Organization
Organization Name:STIRLING ACADEMY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOMAND
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:818-376-0134
Mailing Address - Street 1:6931 VAN NUYS BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-3980
Mailing Address - Country:US
Mailing Address - Phone:818-376-0134
Mailing Address - Fax:818-376-1437
Practice Address - Street 1:6931 VAN NUYS BLVD.
Practice Address - Street 2:#101-102
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405
Practice Address - Country:US
Practice Address - Phone:818-376-0134
Practice Address - Fax:818-376-1437
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STIRLING ACADEMY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-13
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB31242261Q00000X
CAPSY6925251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7481AOtherLA COUNTY MENTAL HEALTH