| Starke Behavioral Health Services Llc | |
|
120 W Broad St Blackstone VA 23824-1710 | |
| (804) 586-1587 | |
| Not Available |
| Full Name | Starke Behavioral Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 W Broad St, Blackstone, Virginia |
| Authorized Official Name and Position | Lawrence Carlton Starke (OWNER) |
| Authorized Official Contact | 4342921104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starke Behavioral Health Services Llc 120 W Broad St Blackstone VA 23824-1710 Ph: (804) 586-1587 | Starke Behavioral Health Services Llc 120 W Broad St Blackstone VA 23824-1710 Ph: (804) 586-1587 |
| NPI Number | 1376804120 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 10/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376804120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Secondary |
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