NPI 1699868893

Crossroad Child & Family Services, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Fort Wayne, IN

Practice location

Address: 1825 Beacon Street, Fort Wayne, IN 46805
Phone: (260) 484-4153
Fax: (260) 484-2337

Authorised official

Name: David Mullins
Title: President/Ceo
Phone: (260) 484-4153

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 3001702900002 (IN)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Indiana →

Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X Licence 3001702900002 (IN)

Other Psychiatric Residential Treatment Facility providers in Indiana →

Registry record

NPI: 1699868893
Entity type: Organization
NPI issued: 2 Oct 2006
Record last updated: 14 Feb 2024

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.