Organization · Type 2 NPI

Interdisciplinary Community Autism Network, Inc

Community/Behavioral Health Agency · Fort Wayne, IN

NPI number 1336579754 Active

Practice location

409 E Cook Rd, Suite 100
Fort Wayne, IN 46825-3600

Call (260) 498-9933 Map

Mailing address

2599 County Road 72
Auburn, IN 46706-9624

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Psychologist 103TC0700X20042225A (IN)
School Psychologist 103TS0200XNone listed
Clinical Social Worker 1041C0700XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Developmental Therapist 222Q00000XNone listed
Physical Therapist 225100000XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1336579754

Interdisciplinary Community Autism Network, Inc's National Provider Identifier is 1336579754, issued on Nov 21, 2013. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 21, 2013.