Organization · Type 2 NPI
Crossroad Child and Family Services
Mental Illness Community Based Residential Treatment Facility · Fort Wayne, IN
NPI number
1033599014
Active
Practice location
2525 Lake Ave
Fort Wayne, IN 46805-5407
Mailing address
2525 Lake Avenue
Fort Wayne, IN 46805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 35001873A (IN) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
18 other providers at this address
- Crossroad - Fort Wayne Childrens HomeAdolescent and Children Mental Health Clinic/Center Fort Wayne, IN NPI 1275614109
- Crossroad Child and Family ServicesPsychiatric Residential Treatment Facility Fort Wayne, IN NPI 1770970337
- Crossroad Child and Family Services, Inc.Mental Illness Community Based Residential Treatment Facility Fort Wayne, IN NPI 1689940678
- Barbara A. Schultz, MSW, LCSWClinical Social Worker Fort Wayne, IN NPI 1467684936
- Candis Lea LuchnenkoCase Manager/Care Coordinator Fort Wayne, IN NPI 1841774346
- David M. GoetzCase Manager/Care Coordinator Fort Wayne, IN NPI 1023596665
- Gerald Dean McCalebCase Manager/Care Coordinator Fort Wayne, IN NPI 1912485459
- Jackie Dean Vannatta Jr.Case Manager/Care Coordinator Fort Wayne, IN NPI 1487135869
- Jeff NewmanCase Manager/Care Coordinator Fort Wayne, IN NPI 1215491519
- Jon Robert MosebyCase Manager/Care Coordinator Fort Wayne, IN NPI 1962984260
- Katrina Louise Imber, LSWCase Manager/Care Coordinator Fort Wayne, IN NPI 1497236442
- Marissa K. Freson, MSED, LMFTAMental Health Counselor Fort Wayne, IN NPI 1336574656
Other mental illness community based residential treatment facility providers in Fort Wayne
About NPI 1033599014
Crossroad Child and Family Services's National Provider Identifier is 1033599014, issued on Jun 4, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 4, 2015.