Organization
COMMUNITY AND FAMILY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER RICHARD DESMANGLES MS, NCC, LMHC, ACIT (CLINICAL COORDINATOR)
(765) 742-4848
Entity
Organization
Contact information
Practice address
100 SAW MILL RD STE 3200, LAFAYETTE, IN 47905-5597
(765) 742-4848
(765) 477-9905
Mailing address
100 SAW MILL RD STE 3200, PO BOX 1186, LAFAYETTE, IN 47905-5597
(765) 742-4848
(765) 477-9905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001705A
IN
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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