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Organization
FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC
Active
Organization
FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC
Active
Other names
4C Health
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ANN CADWELL HSPP (CEO)
(574) 722-5151
Entity
Organization
Contact information
Practice address
1000 N BROADWAY, PERU, IN 46970-1070
(574) 722-5151
(574) 739-1414
Mailing address
2355 S BUSINESS 31, PERU, IN 46970-8985
(574) 722-5151
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
427-0-CMHC
IN
261QR0400X
Rehabilitation Clinic/Center
427-0-CMHC
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100464740
—
IN
Enumeration date
06/12/2006
Last updated
09/18/2024
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