Organization
LAUNCHPAD FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W BLANKS III (ADMINISTRATIVE DIRECTOR)
(260) 424-0411
Entity
Organization
Contact information
Practice address
2200 LAKE AVE STE 260, FORT WAYNE, IN 46805-5351
(260) 424-0411
(260) 424-3530
Mailing address
2200 LAKE AVE STE 260, FORT WAYNE, IN 46805-5351
(260) 424-0411
(260) 424-3530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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