NPI 1922854728
Star Psychiatric Services PC
Practice location
- Address
- 239 N Dixie Way, South Bend, IN 46637-3309
- Phone
- (574) 243-0112
- Fax
- (574) 243-0112
Authorised official
- Name
- Khutb Mohammed Uddin
- Title
- Owner
- Phone
- (574) 243-0112
Registered specialties
Psychiatric Hospital Unit
Primary
Registry record
- NPI
- 1922854728
- Entity type
- Organization
- NPI issued
- 24 Apr 2024
- Record last updated
- 24 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.