# AIDS TASK FORCE OF NORTHEAST INDIANA

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

## Provider details

- **NPI number:** 1356418784
- **Authorized official:** MS. KRISTINA LOUISE WISE (CASE MANAGER)
- **Authorized official phone:** (260) 744-1144

## Contact information

- **Practice address:** 525 OXFORD ST, FORT WAYNE, IN 46806-4177
- **Practice address phone:** (260) 744-1144
- **Mailing address:** 525 OXFORD ST, FORT WAYNE, IN 46806-4177
- **Mailing address phone:** (260) 744-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 08/22/2020