| North Star Act | |
|
474 W Vermont Ave 104 Escondido CA 92025-6584 | |
| (760) 432-9884 | |
| Not Available |
| Full Name | North Star Act |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 474 W Vermont Ave, Escondido, California |
| Authorized Official Name and Position | Donald F Cosico-berge (STAFF NURSE) |
| Authorized Official Contact | 7604329884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Act 474 W Vermont Ave 104 Escondido CA 92025-6584 Ph: (760) 432-9884 | North Star Act 474 W Vermont Ave 104 Escondido CA 92025-6584 Ph: (760) 432-9884 |
| NPI Number | 1093904831 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093904831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 521816 (Delaware) | Primary |
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