NPI 1265698120

Madison Center, INC.

Organisation Community/Behavioral Health Agency South Bend, IN

Practice location

Address: 403 E Madison St, South Bend, IN 46617-2322
Phone: (574) 283-1107
Fax: (574) 283-1131

Authorised official

Name: Brenda J Clanton
Title: Contracts Manager
Phone: (574) 283-1107

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 406-0-CMHC (IN)

Other Community/Behavioral Health providers in Indiana →

Registry record

NPI: 1265698120
Entity type: Organization
NPI issued: 31 Jul 2008
Record last updated: 7 Apr 2010

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.