Capital City Shining Stars
Capital City Shining Stars is a Developmentally Disabled Services Day Training Agency in Petersburg, Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 4
Practice location Address checks out
1201 Commerce StPetersburg, VA 23803-2904
Phone: (804) 715-2621
Fax: (804) 800-4250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
Record details
| NPI number | 1326675497 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alicia Wills — Owner · (804) 715-2621 |
| NPI enumerated | March 26, 2020 |
| Last updated in NPPES | May 29, 2024 |
| Certification date | May 29, 2024 |
| Mailing address | Po Box 1870, Chesterfield, VA 23832-9108 |
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