Whalio Doctors

NPI 1689940678

Crossroad Child and Family Services, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Fort Wayne, IN

Practice location

Address
2525 Lake Ave, Fort Wayne, IN 46805-5407
Phone
(260) 484-4153

Authorised official

Name
Christy Bradley
Title
Finance
Phone
(260) 484-4153

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1689940678
Entity type
Organization
NPI issued
24 Mar 2012
Record last updated
24 Mar 2012

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.