Organization
PARK CENTER INC
Active
Organization
PARK CENTER INC
Active
Parent organization
PARK CENTER INC
Other names
Park Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK CENTER INC
Authorized official
STANTON RISSER (ACFO)
(260) 266-9380
Entity
Organization
Contact information
Practice address
909 E STATE BLVD, FORT WAYNE, IN 46805-3404
(260) 482-9125
Mailing address
1450 PRODUCTION RD, FORT WAYNE, IN 46808-1167
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
07/21/2025
Last updated
08/12/2025
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