North Star Psychiatric Services, Llc | |
1475 Central Ave Suite 210 Los Alamos NM 87544-3160 | |
(505) 412-7756 | |
Not Available |
Full Name | North Star Psychiatric Services, Llc |
---|---|
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1475 Central Ave, Los Alamos, New Mexico |
Authorized Official Name and Position | Brian Haigh (OWNER) |
Authorized Official Contact | 5054127756 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Star Psychiatric Services, Llc 1475 Central Ave Suite 210 Los Alamos NM 87544-3160 Ph: (505) 412-7756 | North Star Psychiatric Services, Llc 1475 Central Ave Suite 210 Los Alamos NM 87544-3160 Ph: (505) 412-7756 |
NPI Number | 1316391063 |
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Provider Enumeration Date | 04/19/2016 |
Last Update Date | 04/26/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316391063 | NPI | - | NPPES |
67620752 | Medicaid | NM |
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