# NORTHEASTERN CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023125705
- **Authorized official:** MS. RENEE RUNKLE (ADMINISTRATIVE SERVICES COORDINATOR)
- **Authorized official phone:** (260) 347-2453

## Contact information

- **Practice address:** 220 S MAIN ST, KENDALLVILLE, IN 46755-1718
- **Practice address phone:** (260) 347-2453
- **Practice address fax:** (260) 347-2456
- **Mailing address:** PO BOX 817, KENDALLVILLE, IN 46755-0817
- **Mailing address phone:** (260) 347-2453
- **Mailing address fax:** (260) 347-2456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 426-0-CMHC | IN | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 06/25/2009