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CENTER FOR BEHAVIORAL HEALTH INDIANA INC. NPI 1063646032


NPI Information

NPI: 1063646032
Provider Name: CENTER FOR BEHAVIORAL HEALTH INDIANA, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 15D2251265

Address:
1414 N WELLS ST
FORT WAYNE, IN
ZIP 46808
Phone: (208) 367-9446
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CENTER FOR BEHAVIORAL HEALTH INDIANA, INC. is a community behavioral health in Fort Wayne, IN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CENTER FOR BEHAVIORAL HEALTH INDIANA, INC. NPI is 1063646032. The provider is registered as an organization entity type.

The provider's business location address is:

1414 N WELLS ST
FORT WAYNE, IN
ZIP 46808-796
Phone: (208) 367-9446

The provider's authorized official is Brant Massman .
The authorized official title is Sec./treas. and has the following contact phone number (208) 367-9446.

The CLIA number assigned to this NPI record is 15D2251265 - other - drug treatment facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 5/6/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

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: 4/28/2024

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