Organization · Type 2 NPI

Fort Wayne Clubhouse, Inc

Community/Behavioral Health Agency · Fort Wayne, IN

NPI number 1346601366 Active

Practice location

3327 Lake Ave
Fort Wayne, IN 46805-5529

Call (260) 414-8164 Map

Fax (260) 423-4621

Specialties and licenses

TaxonomyCodeLicense
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 1346601366

Fort Wayne Clubhouse, Inc's National Provider Identifier is 1346601366, issued on Mar 18, 2016. 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 Mar 18, 2016.