Organization · Type 2 NPI
Starved Rock Family Psychiatry, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Utica, IL
NPI number
1861244063
Active
Practice location
325 Clark St Ste C
Utica, IL 61373-9484
Mailing address
1 Bridget Ter
Utica, IL 61373-9552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1861244063
Starved Rock Family Psychiatry, LLC's National Provider Identifier is 1861244063, issued on Apr 2, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Utica, IL. The record was last updated on Jun 17, 2024.