Organization
NEIGHBORHOOD MENTORING ACADEMY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLETCHER L. UPSHAW JR. (EXECUTIVE DIRECTOR)
(260) 615-0153
Entity
Organization
Contact information
Practice address
916 E HAWTHORNE ST, FORT WAYNE, IN 46806-3144
(260) 615-0153
Mailing address
916 E HAWTHORNE ST, FORT WAYNE, IN 46806-3144
(260) 615-0153
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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