Organization
CROSSROAD CHILD & FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MULLINS (PRESIDENT/CEO)
(260) 484-4153
Entity
Organization
Contact information
Practice address
1825 BEACON STREET, FORT WAYNE, IN 46805
(260) 484-4153
(260) 484-2337
Mailing address
1825 BEACON STREET, FORT WAYNE, IN 46805
(260) 484-4153
(260) 484-2337
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
3001702900002
IN
323P00000X
Psychiatric Residential Treatment Facility
3001702900002
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200295210
—
IN
Enumeration date
10/02/2006
Last updated
02/14/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us