# NORTH STAR FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174135032
- **Authorized official:** PATTY DOBBS GROSS MA IN ED PSYCH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (860) 423-0664

## Contact information

- **Practice address:** 20 DEERFIELD LN, STORRS, CT 06268-2712
- **Practice address phone:** (860) 423-0664
- **Mailing address:** 20 DEERFIELD LN, STORRS, CT 06268-2712
- **Mailing address phone:** (860) 423-0664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2020
- **Last updated:** 08/20/2020