institution
Porter-starke Services Inc.
Methadone Clinic in Valparaiso, Indiana
NPI 1689627598

Porter-starke Services Inc. is a Methadone Clinic based in Valparaiso, IN and is specialized in Methadone. Porter-starke Services Inc. practices in Valparaiso, IN. The NPI Number for Porter-starke Services Inc. is 1689627598 and holds a License No. 418-0-CMHC (Indiana).

The current practice location address for Porter-starke Services Inc. is 2507 Cumberland Dr, Valparaiso, IN and can be reached out via phone at 219-476-4676 and via fax at 219-462-3975. You can also correspond with Porter-starke Services Inc. through the mailing address at 601 WALL ST, VALPARAISO, IN - 46383-2512 (mailing address contact number: 219-531-3500).

Location: 2507 Cumberland Dr, Valparaiso, IN, 46383-2512
institution
Provider Profile Details
NPI Number
1689627598
Provider Name
Porter-starke Services Inc.
Credential
Provider Entity Type
Organization
Address
2507 Cumberland Dr, Valparaiso, IN, 46383-2512
Phone Number
219-476-4676
Fax Number
219-462-3975
Provider Enumeration Date
05/19/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100207670A 05 IN
CB7125 01 IN MEDICARE RAILROAD
000000112682 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
2507 Cumberland Dr
City
State
Zip
46383-2503
Phone Number
219-476-4676
Fax Number
219-462-3975
person
Provider Business Mailing Address Details
Address
601 Wall St
City
State
Zip
46383-2512
Phone Number
219-531-3500
Fax Number
219-462-3975
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
418-0-ASR (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
418-0-CMHC (Indiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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