| Organization Name: | S.T.A.R. SEXUAL TRAUMA AND RECOVERY INC. |
| NPI Number: | 1053409656 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID HANSON LEWIS (BUSINESS MANAGER) |
| Mailing Address: | 300 E Lancaster Ave Suite 315 Wynnewood |
| State: | PA US |
| Postal Code: | 190962139 |
| Phone Number: | 6106582737 |
| Fax Number: | 6106582739 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 234321 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |