Organization
THE CHILDREN'S CAMPUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN ERMETI (EXECUTIVE DIRECTOR)
(574) 259-5667
Entity
Organization
Contact information
Practice address
1011 E WASHINGTON ST, SOUTH BEND, IN 46617-3109
(574) 280-2082
Mailing address
1411 LINCOLNWAY W, MISHAWAKA, IN 46544-1626
(574) 259-5666
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
43714
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200473490
—
IN
Enumeration date
03/06/2008
Last updated
06/19/2008
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