Organization
NORTH STAR CENTRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA S KAUFMAN LCSW (EXECUTIVE DIRECTOR)
(561) 361-0500
Entity
Organization
Contact information
Practice address
7860 GLADES RD, SUITE 225, BOCA RATON, FL 33434-4175
(561) 361-0500
(561) 479-0384
Mailing address
7860 GLADES RD, SUITE 225, BOCA RATON, FL 33434-4175
(561) 361-0500
(561) 479-0384
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
01/23/2015
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