Organization
SAMINA RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEI FERGUSON (OWNER)
(260) 446-7613
Entity
Organization
Contact information
Practice address
3224 MALLARD COVE LN, FORT WAYNE, IN 46804-2883
(260) 446-7613
(260) 400-9985
Mailing address
4929 HOAGLAND AVE, FORT WAYNE, IN 46807-3226
(260) 446-7613
(260) 400-9985
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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