| Your Friends & Neighbors | |
|
1515 Magnavox Way Fort Wayne IN 46804-1533 | |
| (260) 459-1551 | |
| (260) 459-1451 |
| Full Name | Your Friends & Neighbors |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1515 Magnavox Way, Fort Wayne, Indiana |
| Authorized Official Name and Position | Ernest M Beal (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2604591551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Friends & Neighbors 1515 Magnavox Way Fort Wayne IN 46804-1533 Ph: (260) 459-1551 | Your Friends & Neighbors 1515 Magnavox Way Fort Wayne IN 46804-1533 Ph: (260) 459-1551 |
| NPI Number | 1639316086 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639316086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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