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Organization
FAMILY AND CHILDREN BEHAVIORAL HEALTH PC
Active
Organization
FAMILY AND CHILDREN BEHAVIORAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED RASHID MUMTAZ M.D (PRESIDENT)
(260) 436-0950
Entity
Organization
Contact information
Practice address
4656 W JEFFERSON BLVD, STE. 135, FORT WAYNE, IN 46804-6857
(260) 436-0959
(260) 436-0893
Mailing address
4656 W JEFFERSON BLVD, STE. 135, FORT WAYNE, IN 46804-6857
(260) 436-0959
(260) 436-0893
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
50004594A
IN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
50004594A
IN
Other
Enumeration date
02/11/2007
Last updated
09/11/2025
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