Inner North Star, LLC

NPI #1104676592 in Julian, California

Provider Information

NPI Number: 1104676592
Entity Type: Organization
Organization Name: Inner North Star, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 26, 2024
Last Updated: Mar 26, 2024

Practice Location

Address: 1364 LEON LN
City: Julian
State: California
ZIP Code: 92036-9400
Phone: (619) 643-5694

Authorized Official

Name: MICHELLE DUTRO
Title: OWNER
Phone: (425) 577-9041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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