NPI 1073405270
Park Center INC
Practice location
- Address
- 909 E State Blvd, Fort Wayne, IN 46805-3404
- Phone
- (260) 482-9125
- Mailing address
- 1450 Production Rd, Fort Wayne, IN 46808-1167
Authorised official
- Name
- Stanton Risser
- Title
- Acfo
- Phone
- (260) 266-9380
Registered specialties (2)
Community/Behavioral Health Agency
Primary
Community Health Clinic/Center
Registry record
- NPI
- 1073405270
- Entity type
- Organization
- NPI issued
- 21 Jul 2025
- Record last updated
- 12 Aug 2025
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.