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CROSSROAD CHILD AND FAMILY SERVICES, INC.
NPI 1689940678
Community Based Residential Treatment Facility, Mental Illness in Fort Wayne, IN

Active since March 24, 2012
2525 LAKE AVE, FORT WAYNE, IN 46805(260) 484-4153 Get Directions Write a Review

NPPES record last updated: March 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crossroad Child And Family Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROAD CHILD AND FAMILY SERVICES, INC. (NPI 1689940678) is a healthcare organization registered as a community based residential treatment facility, mental illness in Fort Wayne, Indiana and active in the NPI registry since March 2012. The organization lists Christy Bradley, Finance, as its authorized official.

NPPES Registry Identity

NPI1689940678
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCROSSROAD CHILD AND FAMILY SERVICES, INC.
Location Address2525 LAKE AVEFort Wayne, IN 46805-5407
Mailing Address2525 Lake AveFort Wayne, IN 46805-5407
Phone(260) 484-4153
Organization SubpartNo
Authorized OfficialChristy BradleyFinance · (260) 484-4153
Enumeration DateMarch 24, 2012
✔ NPI 1689940678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2525 LAKE AVE, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M GOETZ
Case Manager/Care Coordinator
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
CROSSROAD CHILD AND FAMILY SERVICES
Community Based Residential Treatment Facility, Mental Illness
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
SARAH NOREEN YORK
Case Manager/Care Coordinator
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
JEFF NEWMAN
Case Manager/Care Coordinator
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 715-7995
CROSSROAD - FORT WAYNE CHILDRENS HOME
Clinic/Center (Adolescent and Children Mental Health)
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
MARISSA K FRESON MSED, LMFTA
Counselor (Mental Health)
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
MRS. BARBARA A SCHULTZ MSW, LCSW
Social Worker (Clinical)
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153
JACKIE DEAN VANNATTA JR.
Case Manager/Care Coordinator
2525 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 484-4153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossroad Child And Family Services, Inc.'s NPI number?

The NPI number for Crossroad Child And Family Services, Inc. is 1689940678. It was assigned to this organization in the NPPES registry on March 24, 2012.

Where is Crossroad Child And Family Services, Inc. located?

Crossroad Child And Family Services, Inc. is located at 2525 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 484-4153.

What is Crossroad Child And Family Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Crossroad Child And Family Services, Inc. was last updated on March 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.