| Park Center Inc | |
|
909 E State Blvd Fort Wayne IN 46805-3404 | |
| (260) 482-9125 | |
| Not Available |
| Full Name | Park Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 909 E State Blvd, Fort Wayne, 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 1450 Production Rd Fort Wayne IN 46808-1167 Ph: () - | Park Center Inc 909 E State Blvd Fort Wayne IN 46805-3404 Ph: (260) 482-9125 |
| NPI Number | 1073405270 |
|---|---|
| Provider Enumeration Date | 07/21/2025 |
| Last Update Date | 08/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073405270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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