| Four County Comprehensive Mental Health Center Inc | |
|
1000 N Broadway Peru IN 46970-1070 | |
| (574) 722-5151 | |
| (574) 739-1414 |
| Full Name | Four County Comprehensive Mental Health Center Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1000 N Broadway, Peru, Indiana |
| Authorized Official Name and Position | Carrie Ann Cadwell (CEO) |
| Authorized Official Contact | 5747213983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four County Comprehensive Mental Health Center Inc 2355 S Business 31 Peru IN 46970-8985 Ph: (574) 722-5151 | Four County Comprehensive Mental Health Center Inc 1000 N Broadway Peru IN 46970-1070 Ph: (574) 722-5151 |
| NPI Number | 1295562536 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295562536 | NPI | - | NPPES |
| 100464740 | Medicaid | IN |
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4c Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1000 N Broadway, Peru, IN 46970 Phone: 574-722-5151 Fax: 574-739-1414 |