NPI 1720763006

Wheatfield Residential LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Wheatfield, IN

Practice location

Address: 12501 In-49, Wheatfield, IN 46392
Phone: (219) 235-9777
Mailing address: 4150 Illinois Rd, Fort Wayne, IN 46804-1208

Authorised official

Name: Andrew Stroup
Title: Program Director
Phone: (260) 600-9640

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Indiana →

Registry record

NPI: 1720763006
Entity type: Organization
NPI issued: 15 Jun 2023
Record last updated: 15 Jun 2023

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.