OrganizationActive
Crossroad Child and Family Services, Inc.
NPI 1689940678 · Mental Illness Community Based Residential Treatment Facility · Fort Wayne, IN
Provider details
- NPI number
- 1689940678
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Christy Bradley, Finance(260) 484-4153
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2525 Lake Ave
Fort Wayne, IN 46805-5407
Phone: (260) 484-4153
Street-level locationGet directions
Mailing address
2525 Lake Ave
Fort Wayne, IN 46805-5407
Registry dates
- Enumerated
- 2012-03-24
- Last updated
- 2012-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.