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Organization

PORTER STARKE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AILEEN WEHREN (DIRECTOR)
(219) 476-4567
Entity
Organization

Contact information

Practice address
3349 WILLOWCREEK RD, PORTAGE, IN 46368-5015
(219) 763-8826
Mailing address
3349 WILLOWCREEK RD, PORTAGE, IN 46368-5015
(219) 763-8826

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IN

Other

Enumeration date
10/30/2009
Last updated
10/30/2009
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