| Starke Behavioral Health Association Inc | |
|
120 W Broad St Blackstone VA 23824-1710 | |
| (434) 292-1104 | |
| (434) 292-1134 |
| Full Name | Starke Behavioral Health Association Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 120 W Broad St, Blackstone, Virginia |
| Authorized Official Name and Position | Lawrence C Starke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4342921104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starke Behavioral Health Association Inc 120 W Broad St Blackstone VA 23824-1710 Ph: (434) 292-1104 | Starke Behavioral Health Association Inc 120 W Broad St Blackstone VA 23824-1710 Ph: (434) 292-1104 |
| NPI Number | 1427404433 |
|---|---|
| Provider Enumeration Date | 05/09/2016 |
| Last Update Date | 05/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427404433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701003843 (Virginia) | Primary |
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