NPI 1629533658

Ywca Northeast Indiana INC

Organisation Substance Abuse Rehabilitation Facility Fort Wayne, IN

Practice location

Address: 1313 W Washington Center Rd, Fort Wayne, IN 46825-4142
Phone: (260) 424-4908

Authorised official

Name: Michelle Banks
Title: Chief Financial Officer
Phone: (260) 424-4908

Registered specialties (4)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X

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Lodging Provider

Other Service Providers Taxonomy 177F00000X

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Registry record

NPI: 1629533658
Entity type: Organization
NPI issued: 4 Feb 2019
Record last updated: 25 Feb 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.