| NPI | 1942846555 |
|---|---|
| Doing Business As | STARBOARD |
| Entity Type | Organization |
| Authorized Contact | CARMEN MARIE WILSON President 075-720-7775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |