| Fwbh, Llc | |
|
3955 W Washington Center Rd Fort Wayne IN 46818-1526 | |
| (317) 912-3699 | |
| Not Available |
| Full Name | Fwbh, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3955 W Washington Center Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Brian Phillip Farley (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fwbh, Llc 6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-6000 | Fwbh, Llc 3955 W Washington Center Rd Fort Wayne IN 46818-1526 Ph: (317) 912-3699 |
| NPI Number | 1750100368 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750100368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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