Allendale Academy LLC
NPI #1356007934 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1356007934
- Entity Type
- Organization
- Organization Name
- Allendale Academy LLC
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Nov 9, 2021
- Last Updated
- Nov 9, 2021
Practice Location
- Address
- 454 E DUPONT RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46825-2050
- Phone
- (239) 888-4910
Authorized Official
- Name
- ADAM HOCHBERG
- Title
- OWNER
- Phone
- (239) 888-4910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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