Organization
CROSSROAD CHILD AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEE RAGER MSED., LMFT (THERAPIST)
(260) 484-4153
Entity
Organization
Contact information
Practice address
2525 LAKE AVE, FORT WAYNE, IN 46805-5407
(260) 484-4153
(260) 496-5996
Mailing address
2525 LAKE AVE, FORT WAYNE, IN 46805-5407
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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