NEOSSIA INC NPI 1295396810

NPI Information

NEOSSIA INC is a mental health (including community mental health center) clinic center in Fort Wayne, IN. NEOSSIA INC NPI is 1295396810. The provider is registered as an organization entity type.

The provider's business location address is:

412 S SCOTT RD
FORT WAYNE, IN
ZIP 46814
Phone: (260) 358-7180
Fax: (260) 755-5731

The provider's authorized official is Brooke Farrington .
The authorized official title is President and has the following contact phone number (260) 358-7180.

The CLIA number assigned to this NPI record is 15D2286066 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2019 and was last updated on 6/25/2019.

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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