Organization · NPI-2
Associated Behavioral Health Services INC
Counselor, Mental Health · Fort Wayne, IN
NPI number1861744062
StatusActive
Last updated in NPPESOct 11, 2012
Details
- NPI
- 1861744062
- Entity type
- Organization (NPI-2)
- Legal business name
- Associated Behavioral Health Services INC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2012
- Last updated
- Oct 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
2809 E Dupont RdFort Wayne, IN 46825-1668
Phone 260-755-1894
Mailing address
2809 E Dupont RdFort Wayne, IN 46825-1668
Phone 260-755-1894
Authorized official
Akinlana Dada
President/Coo
2607551894
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