IMPACT BEHAVIORAL SERVICES LLC

FORT WAYNE, IN
NPI1265162846
Entity TypeOrganization
Authorized ContactSHAWN A WALLACE
Owner
260-740-5139
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2022-06-15
Last Update Date2022-06-15
Business Address
IMPACT BEHAVIORAL SERVICES LLC
4606 E STATE BLVD
FORT WAYNE, IN 46815-6993
Phone number: 260-740-5139
Mailing Address
IMPACT BEHAVIORAL SERVICES LLC
2918 ELMWOOD CT
FORT WAYNE, IN 46804-6100
Phone number: 260-740-5139
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