The Children's Campus, Inc

NPI 1295905263 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1295905263
Enumeration Date 03/06/2008
Last Updated 03/06/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KRISTIN KRISTIN
Position EXECUTIVE DIRECTOR
Phone (574) 259-2410
Fax
Practice Location
216 S LOGAN ST
MISHAWAKA IN, 46544-1708, US
Phone (574) 259-2410
Fax
Business Location
1411 LINCOLNWAY W
MISHAWAKA IN, 46544-1626, US
Phone (574) 259-5666
Fax
Toxanomy
Taxonomy Code 320800000X
License State Indiana
License Number 43738
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According to our database, The Children's Campus, Inc NPI is 1295905263, taxonomy code is 320800000X and license number is 43738, license state is located at Indiana. The Children's Campus, Inc physically located at 216 S Logan St, Mishawaka IN, 46544-1708. NPI Number 1033115704 has the healthcare provider type.

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1295905263 NPI number is provided on an as is basis without warranty of any kind. 1295905263 is maintained by the National Plan & Provider Enumeration System. The contents of The Children's Campus, Inc are for informational purposes only.