Organization
AIDS TASK FORCE NE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA WISE MSW (DIRECTOR OF CLIENT SERVICES)
(260) 744-1144
Entity
Organization
Contact information
Practice address
525 OXFORD ST, FORT WAYNE, IN 46806-4177
(260) 744-1144
(260) 745-0978
Mailing address
525 OXFORD ST, FORT WAYNE, IN 46806-4177
(260) 744-1144
(260) 745-0978
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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