North Star Act
NPI #1093904831 in Escondido, California
Provider Information
- NPI Number
- 1093904831
- Entity Type
- Organization
- Organization Name
- North Star Act
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 17, 2007
- Last Updated
- Oct 17, 2007
Practice Location
- Address
- 474 W VERMONT AVE
- Address 2
- 104
- City
- Escondido
- State
- California
- ZIP Code
- 92025-6584
- Phone
- (760) 432-9884
Authorized Official
- Name
- MR. DONALD F COSICO-BERGE, R.N.
- Title
- STAFF NURSE
- Phone
- (760) 432-9884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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