Organization
PARK CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LEE-HANSEN (CFO)
(312) 388-0125
Entity
Organization
Contact information
Practice address
1909 CAREW ST, FORT WAYNE, IN 46805-4707
(260) 481-2809
(260) 481-2709
Mailing address
909 E STATE BLVD, FORT WAYNE, IN 46805-3404
(260) 481-2700
(260) 481-2709
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
03/02/2026
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