| Costar Corporation | |
|
38222 Via Lusso Palm Springs CA 92264-0226 | |
| (310) 741-0602 | |
| Not Available |
| Full Name | Costar Corporation |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 38222 Via Lusso, Palm Springs, California |
| Authorized Official Name and Position | Christian Eric Duffner (CEO) |
| Authorized Official Contact | 3107410602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Costar Corporation 38222 Via Lusso Palm Springs CA 92264-0226 Ph: (310) 741-0602 | Costar Corporation 38222 Via Lusso Palm Springs CA 92264-0226 Ph: (310) 741-0602 |
| NPI Number | 1093572943 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093572943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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