Organization
INNER NORTH STAR, LLC
Active
Other names
Inner North Star, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DUTRO (OWNER)
(425) 577-9041
Entity
Organization
Contact information
Practice address
1364 LEON LN, JULIAN, CA 92036-9400
(619) 643-5694
Mailing address
PO BOX 54, JULIAN, CA 92036-0054
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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