Organization · Type 2 NPI
Crossroad Child & Family Services, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility · Fort Wayne, IN
Practice location
1825 Beacon Street
Fort Wayne, IN 46805
Fax (260) 484-2337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 3001702900002 (IN) |
| Psychiatric Residential Treatment Facility | 323P00000X | 3001702900002 (IN) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1699868893
Crossroad Child & Family Services, Inc.'s National Provider Identifier is 1699868893, issued on Oct 2, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 14, 2024.