NPI 1467844183

Women's Bureau

Organisation Substance Abuse Rehabilitation Facility Fort Wayne, IN

Practice location

Address: 2417 Fairfield Ave, Fort Wayne, IN 46807-1210
Phone: (260) 424-7977
Fax: (260) 426-7576

Authorised official

Name: Kathleen Alter
Title: Executive Director
Phone: (260) 424-7977

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Indiana →

Registry record

NPI: 1467844183
Entity type: Organization
NPI issued: 4 Mar 2015
Record last updated: 4 Mar 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.