OrganizationActive
Crossroad - Fort Wayne Childrens Home
NPI 1275614109 · Adolescent and Children Mental Health Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1275614109
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jc Dollar, Ceo/President(260) 484-4153
- License
- 7342602900837 (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2525 Lake Ave
Fort Wayne, IN 46805-5407
Phone: (260) 484-4153
Approximate (ZIP-level) locationGet directions
Mailing address
2525 Lake Ave
Fort Wayne, IN 46805-5407
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.