Organization
CROSSROAD CHILD AND FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY BRADLEY (FINANCE)
(260) 484-4153
Entity
Organization
Contact information
Practice address
2525 LAKE AVE, FORT WAYNE, IN 46805-5407
(260) 484-4153
Mailing address
2525 LAKE AVE, FORT WAYNE, IN 46805-5407
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/24/2012
Last updated
03/24/2012
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