Healthcare Provider Details

I. General information

NPI: 1245117902
Provider Name (Legal Business Name): VALLEY STAR CRISIS MOBILE RESPONSE TEAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2025
Last Update Date: 08/16/2025
Certification Date: 08/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12240 HESPERIA RD STE A
VICTORVILLE CA
92395-8309
US

IV. Provider business mailing address

12240 HESPERIA RD STE A
VICTORVILLE CA
92395-8309
US

V. Phone/Fax

Practice location:
  • Phone: 760-245-8837
  • Fax: 760-245-8854
Mailing address:
  • Phone: 760-245-8837
  • Fax: 760-245-8854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KENT DUNLAP
Title or Position: PRESIDENT AND CHIEF EXECUTIVE OFFIC
Credential:
Phone: 310-221-6336