Avenues Recovery Center Of Fort Wayne, Llc
Specialty details in registry · Fort Wayne, IN
At a glance
2626 Fairfield Ave, Fort Wayne, IN 46807-1215
NPPES record updated Jan 5, 2023. Public records can lag behind changes at a practice.
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Practice location
2626 Fairfield AveFort Wayne, IN 46807-1215
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251S00000X
- Enumeration date
- Aug 7, 2020
- Record updated
- Jan 5, 2023
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251S00000X · Primary
Specialty details in registry
261QR0405X
Specialty details in registry
324500000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2626 Fairfield AveFort Wayne, IN 46807-1215
- Phone
- (260) 235-5900
Mailing address
211 BOULEVARD OF THE AMERICAS, SUITE 503LAKEWOOD, NJ 08701
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