Inner North Star, Llc | |
1364 Leon Ln Julian CA 92036-9400 | |
(619) 643-5694 | |
Not Available |
Full Name | Inner North Star, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1364 Leon Ln, Julian, California |
Authorized Official Name and Position | Michelle Dutro (OWNER) |
Authorized Official Contact | 4255779041 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Inner North Star, Llc Po Box 54 Julian CA 92036-0054 Ph: () - | Inner North Star, Llc 1364 Leon Ln Julian CA 92036-9400 Ph: (619) 643-5694 |
NPI Number | 1104676592 |
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Provider Enumeration Date | 03/26/2024 |
Last Update Date | 03/26/2024 |
Certification Date | 02/02/2024 |
Identifier | Type | State | Issuer |
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1104676592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Julian Pathways, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Cape Horn Ave, Julian, CA 92036 Phone: 760-765-2228 | |
Vista Hill Smartcare Rural Integrated Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1461 Hollow Glen Road, Suite A, Julian, CA 92036 Phone: 760-765-1223 |