NPI 1689940678
Crossroad Child and Family Services, INC.
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
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.