CROSSROAD - FORT WAYNE CHILDRENS HOME NPI 1275614109

NPI Information

CROSSROAD - FORT WAYNE CHILDRENS HOME is an adolescent and children mental health clinic center in Fort Wayne, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CROSSROAD - FORT WAYNE CHILDRENS HOME NPI is 1275614109. The provider is registered as an organization entity type.

The provider's business location address is:

2525 LAKE AVE
FORT WAYNE, IN
ZIP 46805-407
Phone: (260) 484-4153

The provider's authorized official is Jc Dollar .
The authorized official title is Ceo/president and has the following contact phone number (260) 484-4153.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 8/22/2020.

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:

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