Organization
WOMEN'S BUREAU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN ALTER (EXECUTIVE DIRECTOR)
(260) 424-7977
Entity
Organization
Contact information
Practice address
2417 FAIRFIELD AVE, FORT WAYNE, IN 46807-1210
(260) 424-7977
(260) 426-7576
Mailing address
2417 FAIRFIELD AVE, FORT WAYNE, IN 46807-1210
(260) 424-7977
(260) 426-7576
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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