Organization
YWCA NORTHEAST INDIANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE BANKS (CHIEF FINANCIAL OFFICER)
(260) 424-4908
Entity
Organization
Contact information
Practice address
1313 W WASHINGTON CENTER RD, FORT WAYNE, IN 46825-4142
(260) 424-4908
Mailing address
1313 W WASHINGTON CENTER RD, FORT WAYNE, IN 46825-4142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
177F00000X
Lodging Provider
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/25/2025
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