CROSSROAD CHILD AND FAMILY SERVICES INC. NPI 1689940678

NPI Information

NPI: 1689940678
Provider Name: CROSSROAD CHILD AND FAMILY SERVICES, INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2525 LAKE AVE
FORT WAYNE, IN
ZIP 46805
Phone: (260) 484-4153
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CROSSROAD CHILD AND FAMILY SERVICES, INC. is a community based residential treatment facility mental illness in Fort Wayne, IN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CROSSROAD CHILD AND FAMILY SERVICES, INC. NPI is 1689940678. 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 Christy Bradley .
The authorized official title is Finance and has the following contact phone number (260) 484-4153.

The enumeration date for this NPI number is 3/24/2012 and was last updated on 3/24/2012.

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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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: 11/14/2023

NPI Synchronization or Removal

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