# CROSSROAD CHILD AND FAMILY SERVICES

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

## Provider details

- **NPI number:** 1770970337
- **Authorized official:** ASHLEE RAGER MSED., LMFT (THERAPIST)
- **Authorized official phone:** (260) 484-4153

## Contact information

- **Practice address:** 2525 LAKE AVE, FORT WAYNE, IN 46805-5407
- **Practice address phone:** (260) 484-4153
- **Practice address fax:** (260) 496-5996
- **Mailing address:** 2525 LAKE AVE, FORT WAYNE, IN 46805-5407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2015
- **Last updated:** 04/22/2015