| NPI | 1508801465 |
|---|---|
| Doing Business As | NORTHSTAR CENTER |
| Entity Type | Organization |
| Authorized Contact | ALLEN R EDLEFSON CEO 269-934-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2010-09-07 |