Shining Star
NPI #1134226160 in Spring Lake, North Carolina
Provider Information
- NPI Number
- 1134226160
- Entity Type
- Organization
- Organization Name
- Shining Star
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Apr 22, 2008
Practice Location
- Address
- 378 APPALOOSA DR
- City
- Spring Lake
- State
- North Carolina
- ZIP Code
- 28390-8504
- Phone
- (910) 904-6699
Authorized Official
- Name
- DAVID HAQQ
- Title
- DIRECTOR
- Phone
- (910) 978-8599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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