# FAMILY AND ALTERNATIVE WELLNESS

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

## Provider details

- **NPI number:** 1457558686
- **Authorized official:** MRS. DELORSE LYNNE KRUG OFFICE MANAGER (OWNER)
- **Authorized official phone:** (765) 362-7600

## Contact information

- **Practice address:** 601 MILL ST, CRAWFORDSVILLE, IN 47933-3440
- **Practice address phone:** (765) 362-7600
- **Mailing address:** 1627 W COUNTRY CLUB RD, CRAWFORDSVILLE, IN 47933-2206
- **Mailing address phone:** (765) 362-4551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202C00000X | Independent Medical Examiner Physician | 02001756A | IN | Yes |

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 08/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200172010 | — | IN |