| Park Center, Inc. | |
|
809 High St Decatur IN 46733-2324 | |
| (260) 724-9669 | |
| (260) 724-4872 |
| Full Name | Park Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 809 High St, Decatur, Indiana |
| Authorized Official Name and Position | Stanton Risser (ACFO) |
| Authorized Official Contact | 2602669380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Center, Inc. 909 E State Blvd Fort Wayne IN 46805-3404 Ph: (260) 481-2700 | Park Center, Inc. 809 High St Decatur IN 46733-2324 Ph: (260) 724-9669 |
| NPI Number | 1366719171 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366719171 | NPI | - | NPPES |
| 201033910A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Allied Physicians Inc., D/b/a Fort Wayne Neurololgy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 High St, Suite A, Decatur, IN 46733 Phone: 260-724-2145 | |
Neurology And Sleep Medicine Consultants Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 High St Ste B, Decatur, IN 46733 Phone: 260-446-6925 |