Organization
SCAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL TOBIN SMITH LCSW (EXECUTIVE DIRECTOR)
(800) 752-7116
Entity
Organization
Contact information
Practice address
500 W MAIN ST, FORT WAYNE, IN 46802-1406
(800) 752-7116
(260) 421-5003
Mailing address
500 W MAIN ST, FORT WAYNE, IN 46802-1406
(800) 752-7116
(260) 421-5003
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
34004986A
IN
251B00000X
Case Management Agency
39000518
IN
251B00000X
Case Management Agency
39000798A
IN
251B00000X
Case Management Agency
3900311A
IN
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
34004986A
IN
251S00000X
Community/Behavioral Health Agency
39000311A
IN
251S00000X
Community/Behavioral Health Agency
39000518
IN
251S00000X
Community/Behavioral Health Agency
Primary
39000798A
IN
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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