NPI | 1386306280 |
---|---|
Doing Business As | STARLIGHT WELLNESS LLC |
Entity Type | Organization |
Authorized Contact | CAROLINE MIYA Owner 602-820-4104 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-10-07 |
Last Update Date | 2021-10-07 |