| NPI | 1437658572 |
|---|---|
| Doing Business As | FORT WAYNE RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ASHPOLE Owner 574-377-8643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-08 |