Capital City Shining Stars
NPI #1326675497 in Petersburg, Virginia
Provider Information
- NPI Number
- 1326675497
- Entity Type
- Organization
- Organization Name
- Capital City Shining Stars
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 26, 2020
- Last Updated
- May 29, 2024
Practice Location
- Address
- 1201 COMMERCE ST
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23803-2904
- Phone
- (804) 715-2621
Authorized Official
- Name
- MRS. ALICIA STAR WILLS
- Title
- OWNER
- Phone
- (804) 715-2621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Day Training, Developmentally Disabled Services |
| Community Based Residential Treatment Facility, Mental Illness |
| Community/Behavioral Health |
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