Whalio Doctors

NPI 1023125705

Northeastern Center, INC

Organisation Case Management Agency Kendallville, IN

Practice location

Address
220 S Main St, Kendallville, IN 46755-1718
Phone
(260) 347-2453
Fax
(260) 347-2456
Mailing address
PO Box 817, Kendallville, IN 46755-0817

Authorised official

Name
Renee Runkle
Title
Administrative Services Coordinator
Phone
(260) 347-2453

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X Licence 426-0-CMHC (IN)

Registry record

NPI
1023125705
Entity type
Organization
NPI issued
25 Aug 2006
Record last updated
25 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.