INNER NORTH STAR, LLC
NPI 1104676592
Clinic/Center - Mental Health (Including Community Mental Health Center) in Julian, CA
Active since March 26, 2024
About Inner North Star, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNER NORTH STAR, LLC (NPI 1104676592) is a healthcare organization registered as a mental health (including community mental health center) in Julian, California and active in the NPI registry since March 2024. The organization lists Michelle Dutro, Owner, as its authorized official.
NPPES Registry Identity
NPI1104676592
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameINNER NORTH STAR, LLC
Location Address1364 LEON LNJulian, CA 92036-9400
Mailing AddressPo Box 54Julian, CA 92036-0054
Phone(619) 643-5694
Organization SubpartNo
Authorized OfficialMichelle DutroOwner · (425) 577-9041
Enumeration DateMarch 26, 2024
NPPES CertifiedFebruary 2, 2024
✔ NPI 1104676592 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1364 LEON LN, Julian, CA 92036
Other Names 1
Former Legal Business NameInner North Star, Llc
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104676592, enumerated as an "organization" on March 26, 2024.
The provider is located at 1364 LEON LN JULIAN, CA 92036 and the phone number is (619) 643-5694.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
