Organization
FRONTLINE ALCHEMY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ELTON ROBERSON III (OWNER / OFFICE MANAGER)
(260) 417-2441
Entity
Organization
Contact information
Practice address
4646 W JEFFERSON BLVD STE 270, FORT WAYNE, IN 46804-6832
(260) 207-4241
Mailing address
4646 W JEFFERSON BLVD STE 270, FORT WAYNE, IN 46804-6832
(260) 207-4241
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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