Individual provider · Type 1 NPI

Alitio Juan Gorman

Adolescent and Children Mental Health Clinic/Center · Fort Wayne, IN

NPI number 1083533996 Active

Practice location

2015 Hughes Dr
Fort Wayne, IN 46816-3111

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1083533996

Alitio Juan Gorman's National Provider Identifier is 1083533996, issued on Jul 14, 2026. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 14, 2026.