Organization
FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC
Active
Other names
4C Health
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ANN CADWELL (CEO)
(574) 721-3983
Entity
Organization
Contact information
Practice address
1000 N BROADWAY, PERU, IN 46970-1070
(574) 722-5151
(574) 739-1414
Mailing address
2355 S BUSINESS 31, PERU, IN 46970-8985
(574) 722-5151
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100464740
—
IN
Enumeration date
09/19/2024
Last updated
09/19/2024
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