1134226160 SHINING STAR
Emotionally Disturbed Childrens' Residential Treatment Facility
Active
Basic Information
- Organization Name
- SHINING STAR
- Enumeration Date
- September 20, 2006
- Last Update
- April 22, 2008
- Authorized Official
- DAVID HAQQ
DIRECTOR
Phone: (910) 978-8599
Practice Location
- Address
- 378 APPALOOSA DR
SPRING LAKE, NC 283908504 - Phone
- (910) 904-6699
- Fax
- (910) 904-1879
Mailing Address
- Address
- PO BOX 2744
FAYETTEVILLE, NC 283022744 - Phone
- (910) 904-6699
- Fax
- (910) 904-1879
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-043-045 | NC | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603538 | 05 | NC | N/A |
Frequently Asked Questions
What is SHINING STAR's NPI number?
SHINING STAR's NPI number is 1134226160.
Which doctor has NPI number 1134226160?
The doctor with NPI number 1134226160 is SHINING STAR.
What is SHINING STAR's practice address?
SHINING STAR's practice address is 378 APPALOOSA DR, SPRING LAKE, NC, 283908504.
Which doctor practices at 378 APPALOOSA DR, SPRING LAKE, NC, 283908504?
SHINING STAR practices at 378 APPALOOSA DR, SPRING LAKE, NC, 283908504.
What is SHINING STAR's mailing address?
SHINING STAR's mailing address is PO BOX 2744, FAYETTEVILLE, NC, 283022744.
What is SHINING STAR's phone number?
SHINING STAR's phone number is (910) 904-6699.
Who is (910) 904-6699?
(910) 904-6699 is the phone number for SHINING STAR.
What is SHINING STAR's specialty?
SHINING STAR's specialty is Emotionally Disturbed Childrens' Residential Treatment Facility.
What type of doctor is SHINING STAR?
SHINING STAR is a Emotionally Disturbed Childrens' Residential Treatment Facility.
Is SHINING STAR a Residential Treatment Facility, Emotionally Disturbed Children?
Yes, SHINING STAR is a Residential Treatment Facility, Emotionally Disturbed Children.
Is SHINING STAR still practicing?
Yes, SHINING STAR is currently practicing.
Is SHINING STAR accepting new patients?
SHINING STAR may be accepting new patients. Please call their office at (910) 904-6699 to inquire about availability.
Is NPI 1134226160 still active?
Yes, NPI 1134226160 is currently active.
Where does SHINING STAR practice?
SHINING STAR practices in SPRING LAKE, NC.