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Organization
PARK CENTER, INC.
Active
Organization
PARK CENTER, INC.
Active
Parent organization
PARK CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK CENTER, INC.
Authorized official
STANTON RISSER (ACFO)
(260) 266-9380
Entity
Organization
Contact information
Practice address
809 HIGH ST, DECATUR, IN 46733-2324
(260) 724-9669
(260) 724-4872
Mailing address
909 E STATE BLVD, FORT WAYNE, IN 46805-3404
(260) 481-2700
(260) 481-2709
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201033910A
—
IN
Enumeration date
11/22/2011
Last updated
10/31/2024
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