Fort Wayne Clubhouse, Inc
Fort Wayne Clubhouse, Inc is a Community/Behavioral Health Agency in Fort Wayne, Indiana. Registered with an NPI since 2016.
- In the registry since
- 2016
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3327 Lake AveFort Wayne, IN 46805-5529
Phone: (260) 414-8164
Fax: (260) 423-4621
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1346601366 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alexander Wilson — Executive Director · (260) 414-8164 |
| Other names | The Carriage House |
| NPI enumerated | March 18, 2016 |
| Last updated in NPPES | March 18, 2016 |
| Mailing address | 3327 Lake Ave, Fort Wayne, IN 46805-5529 |
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