| North Star Psychiatric Services, Llc | |
|
1475 Central Ave Suite 210 Los Alamos NM 87544-3160 | |
| (505) 412-7756 | |
| Not Available |
| Full Name | North Star Psychiatric Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1475 Central Ave, Los Alamos, New Mexico |
| Authorized Official Name and Position | Brian Haigh (OWNER) |
| Authorized Official Contact | 5054127756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Psychiatric Services, Llc 1475 Central Ave Suite 210 Los Alamos NM 87544-3160 Ph: (505) 412-7756 | North Star Psychiatric Services, Llc 1475 Central Ave Suite 210 Los Alamos NM 87544-3160 Ph: (505) 412-7756 |
| NPI Number | 1316391063 |
|---|---|
| Provider Enumeration Date | 04/19/2016 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316391063 | NPI | - | NPPES |
| 67620752 | Medicaid | NM |
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