| Northern Path Recovery Center | |
|
3110 E Coliseum Blvd Fort Wayne IN 46805-1554 | |
| (260) 901-6980 | |
| Not Available |
| Full Name | Northern Path Recovery Center |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 3110 E Coliseum Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | James Stephen Hinkle (GENERAL COUNSEL & SECRETARY) |
| Authorized Official Contact | 6156377218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Path Recovery Center 501 Corporate Centre Dr Ste 600 Franklin TN 37067-2784 Ph: (615) 545-5519 | Northern Path Recovery Center 3110 E Coliseum Blvd Fort Wayne IN 46805-1554 Ph: (260) 901-6980 |
| NPI Number | 1003635418 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 06/19/2026 |
| Certification Date | 06/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003635418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | () | Primary |
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