Organization
CHILDREN'S AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL FORTE PH.D. (EXECUTIVE DIRECTOR)
(260) 459-6040
Entity
Organization
Contact information
Practice address
10313 ABOITE CENTER ROAD, FORT WAYNE, IN 46804
(260) 459-6040
(260) 459-6010
Mailing address
10313 ABOITE CENTER ROAD, FORT WAYNE, IN 46804
(260) 459-6040
(260) 459-6010
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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