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Organization

SUMMIT BHC FT WAYNE LLC

Active
Other names
Northern Path Recovery Center
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL GILBERT (CHIEF LEGAL OFFICER)
(615) 545-5519
Entity
Organization

Contact information

Practice address
3110 E COLISEUM BLVD, FORT WAYNE, IN 46805-1554
(260) 901-6980
Mailing address
501 CORPORATE CENTRE DR STE 600, FRANKLIN, TN 37067-2784
(615) 545-5519

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
10/03/2024
Last updated
03/04/2026
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