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THE CHILDREN'S CAMPUS INC NPI 1295905263


NPI Information

NPI: 1295905263
Provider Name: THE CHILDREN'S CAMPUS, INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
216 S LOGAN ST
MISHAWAKA, IN
ZIP 46544
Phone: (574) 259-2410
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THE CHILDREN'S CAMPUS, INC is a community based residential treatment facility mental illness in Mishawaka, IN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THE CHILDREN'S CAMPUS, INC NPI is 1295905263. The provider is registered as an organization entity type.

The provider's business location address is:

216 S LOGAN ST
MISHAWAKA, IN
ZIP 46544-708
Phone: (574) 259-2410

The provider's authorized official is Kristin Ermeti .
The authorized official title is Executive Director and has the following contact phone number (574) 259-5667.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness43738INDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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