OrganizationActive
Crossroad Child & Family Services, Inc.
NPI 1699868893 · Emotionally Disturbed Childrens' Residential Treatment Facility · Fort Wayne, IN
Provider details
- NPI number
- 1699868893
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Mullins, President/Ceo(260) 484-4153
- License
- 3001702900002 (IN)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 3001702900002 (IN)
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
1825 Beacon Street
Fort Wayne, IN 46805
Phone: (260) 484-4153
Fax: (260) 484-2337
Approximate (ZIP-level) locationGet directions
Mailing address
1825 Beacon Street
Fort Wayne, IN 46805
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2024-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.