# NORTH STAR CENTER, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH STAR CENTER, LLC.
- **Other names:** Outpatient Introspection Center, North Star Treatment Center, North Star Day Treatment
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285113472
- **Legal business name:** NORTH STAR CENTER, LLC.
- **Authorized official:** MRS. JANETTE HAWS AHQUIN (MANAGER)
- **Authorized official phone:** (435) 229-4889

## Contact information

- **Practice address:** 254 S STATE ST BLDG A, LA VERKIN, UT 84745-5633
- **Practice address phone:** (800) 635-0165
- **Mailing address:** 690 W. STATE STREET, PMB 34, HURRICANE, UT 84737-1972
- **Mailing address phone:** (800) 635-0165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 51933 | UT | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 63460 | UT | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 39297 | UT | Yes |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 08/09/2018
- **Last updated:** 12/13/2018