Provider Demographics
NPI:1255730719
Name:S.T.A.R.-STAND TOGETHER AND RECOVER CENTERS, INC.
Entity type:Organization
Organization Name:S.T.A.R.-STAND TOGETHER AND RECOVER CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MAOM, BHT
Authorized Official - Phone:602-231-0071
Mailing Address - Street 1:3003 N CENTRAL AVE
Mailing Address - Street 2:SUITE 675
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2902
Mailing Address - Country:US
Mailing Address - Phone:602-231-0071
Mailing Address - Fax:602-231-0334
Practice Address - Street 1:2144 E ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-3830
Practice Address - Country:US
Practice Address - Phone:602-795-9560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health