institution
Crossroad - Fort Wayne Childrens Home
Adolescent and Children Mental Health Clinic/Center in Fort Wayne, Indiana
NPI 1275614109

Crossroad - Fort Wayne Childrens Home is an Adolescent and Children Mental Health Clinic/Center based in Fort Wayne, IN and is specialized in Adolescent and Children Mental Health. Crossroad - Fort Wayne Childrens Home practices in Fort Wayne, IN. The NPI Number for Crossroad - Fort Wayne Childrens Home is 1275614109 and holds a License No. 7342602900837 (Indiana).

The current practice location address for Crossroad - Fort Wayne Childrens Home is 2525 Lake Ave, Fort Wayne, IN and can be reached out via phone at 260-484-4153. You can also correspond with Crossroad - Fort Wayne Childrens Home through the mailing address at 2525 LAKE AVE, FORT WAYNE, IN - 46805-5407 (mailing address contact number: 260-484-4153).

Location: 2525 Lake Ave, Fort Wayne, IN, 46805-5407
institution
Provider Profile Details
NPI Number
1275614109
Provider Name
Crossroad - Fort Wayne Childrens Home
Credential
Provider Entity Type
Organization
Address
2525 Lake Ave, Fort Wayne, IN, 46805-5407
Phone Number
260-484-4153
Fax Number
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2525 Lake Ave
City
State
Zip
46805-5407
Phone Number
260-484-4153
Fax Number
person
Provider Business Mailing Address Details
Address
2525 Lake Ave
City
State
Zip
46805-5407
Phone Number
260-484-4153
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
7342602900837 (Indiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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