Whalio Doctors

NPI 1073405270

Park Center INC

Organisation Community/Behavioral Health Agency Fort Wayne, IN

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
Agencies Taxonomy 251S00000X
Community Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QC1500X

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.