Organization
PORTER STARKE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LJUBICA ALLIE MS, LMHC, LCAC (PROGRAM COORDINATOR)
(219) 476-4533
Entity
Organization
Contact information
Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 531-3500
Mailing address
729 COYOTE TRL, KOUTS, IN 46347-9305
(219) 743-2815
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/02/2009
Last updated
05/07/2013
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