Healthcare Provider Details

I. General information

NPI: 1427461136
Provider Name (Legal Business Name): CENTRAL STAR BEHAVIORAL HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2014
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 N MILLBROOK AVE
FRESNO CA
93703-1425
US

IV. Provider business mailing address

1501 HUGHES WAY SUITE 150
LONG BEACH CA
90810-1878
US

V. Phone/Fax

Practice location:
  • Phone: 408-284-9012
  • Fax: 408-284-9050
Mailing address:
  • Phone: 310-221-6336
  • Fax: 408-284-9050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License NumberTBD
License Number StateCA

VIII. Authorized Official

Name: MR. KENT DUNLAP
Title or Position: PRESIDENT AND CHIEF EXECUTIVE OFFIC
Credential: M.P.H.
Phone: 310-221-6336