| Full Potential. Inc | |
|
700 W Toledo St P.o 187 Fremont IN 46737-7606 | |
| (260) 499-0359 | |
| Not Available |
| Full Name | Full Potential. Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 700 W Toledo St, Fremont, Indiana |
| Authorized Official Name and Position | Cynthia Sue Church (PRESIDENT) |
| Authorized Official Contact | 2604990359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Potential. Inc 700 W Toledo St P.o 187 Fremont IN 46737-7606 Ph: (260) 499-0359 | Full Potential. Inc 700 W Toledo St P.o 187 Fremont IN 46737-7606 Ph: (260) 499-0359 |
| NPI Number | 1346785722 |
|---|---|
| Provider Enumeration Date | 12/21/2016 |
| Last Update Date | 12/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346785722 | NPI | - | NPPES |
| 201404030-A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Across The Spectrum Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7055 E State Road 120, Fremont, IN 46737 Phone: 260-667-7471 Fax: 833-832-1431 |