| Center For Behavioral Health Indiana, Inc. | |
|
1414 N Wells St Fort Wayne IN 46808-2796 | |
| (208) 367-9446 | |
| Not Available |
| Full Name | Center For Behavioral Health Indiana, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1414 N Wells St, Fort Wayne, Indiana |
| Authorized Official Name and Position | Brant Massman (SEC./TREAS.) |
| Authorized Official Contact | 2083679446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Health Indiana, Inc. 1414 N Wells St Fort Wayne IN 46808-2796 Ph: (260) 420-6010 | Center For Behavioral Health Indiana, Inc. 1414 N Wells St Fort Wayne IN 46808-2796 Ph: (208) 367-9446 |
| NPI Number | 1063646032 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 05/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063646032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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