RIVERSIDE TRAUMA SERVICES

FORT WAYNE, IN
NPI1376421453
Entity TypeOrganization
Authorized ContactELLEN SHANNON
Member
260-271-3889
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-08-26
Last Update Date2026-01-12
Business Address
RIVERSIDE TRAUMA SERVICES
127 W BERRY ST STE 311
FORT WAYNE, IN 46802-2310
Phone number: 260-376-2242
Mailing Address
RIVERSIDE TRAUMA SERVICES
127 W BERRY ST STE 311
FORT WAYNE, IN 46802-2310
Phone number: 260-376-2242