| Children's Sanctuary, Inc. | |
|
3711 Rupp Dr Suite 105 Fort Wayne IN 46815-4523 | |
| (260) 485-0870 | |
| Not Available |
| Full Name | Children's Sanctuary, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3711 Rupp Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Claire K. Oberle (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2604850870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Sanctuary, Inc. 3711 Rupp Dr Suite 105 Fort Wayne IN 46815-4523 Ph: (260) 485-0870 | Children's Sanctuary, Inc. 3711 Rupp Dr Suite 105 Fort Wayne IN 46815-4523 Ph: (260) 485-0870 |
| NPI Number | 1821115569 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821115569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| 251B00000X | Case Management | 53527 (Indiana) | Secondary |
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