Whalio Doctors

NPI 1033599014

Crossroad Child and Family Services

Organisation Mental Illness Community Based Residential Treatment Facility Fort Wayne, IN

Practice location

Address
2525 Lake Ave, Fort Wayne, IN 46805-5407
Phone
(260) 484-4153
Mailing address
2525 Lake Avenue, Fort Wayne, IN 46805

Authorised official

Name
Ashlee Rager
Title
Therapist
Phone
(260) 484-4153

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 35001873A (IN)

Registry record

NPI
1033599014
Entity type
Organization
NPI issued
4 Jun 2015
Record last updated
4 Jun 2015

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.