| NPI | 1538668983 |
|---|---|
| Other Name | STARKS HOMES LLC FAYETTE |
| Entity Type | Organization |
| Authorized Contact | COREY DU JUAN STARKS Program Administrator 520-304-6681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-03-17 |