Provider Demographics
NPI:1720265747
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 WEST
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 1:605 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323-1910
Mailing Address - Country:US
Mailing Address - Phone:623-882-8463
Mailing Address - Fax:623-932-2737
Practice Address - Street 1:605 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85323-1910
Practice Address - Country:US
Practice Address - Phone:623-882-8463
Practice Address - Fax:623-932-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCSA07ADHS0058-2251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health