| Star Psychiatric Services Pc | |
|
239 N Dixie Way South Bend IN 46637-3309 | |
| (574) 243-0112 | |
| (574) 243-0112 |
| Full Name | Star Psychiatric Services Pc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 239 N Dixie Way, South Bend, Indiana |
| Authorized Official Name and Position | Khutb Mohammed Uddin (OWNER) |
| Authorized Official Contact | 5742430112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Psychiatric Services Pc 239 N Dixie Way South Bend IN 46637-3309 Ph: (574) 243-0112 | Star Psychiatric Services Pc 239 N Dixie Way South Bend IN 46637-3309 Ph: (574) 243-0112 |
| NPI Number | 1922854728 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922854728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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