Community And Family Resource Center | |
100 Saw Mill Rd Ste 3200 Lafayette IN 47905-5597 | |
(765) 742-4848 | |
(765) 477-9905 |
Full Name | Community And Family Resource Center |
---|---|
Speciality | Counselor - Mental Health |
Location | 100 Saw Mill Rd Ste 3200, Lafayette, Indiana |
Authorized Official Name and Position | Peter Richard Desmangles (CLINICAL COORDINATOR) |
Authorized Official Contact | 7657424848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community And Family Resource Center 100 Saw Mill Rd Ste 3200 Po Box 1186 Lafayette IN 47905-5597 Ph: (765) 742-4848 | Community And Family Resource Center 100 Saw Mill Rd Ste 3200 Lafayette IN 47905-5597 Ph: (765) 742-4848 |
NPI Number | 1174649552 |
---|---|
Provider Enumeration Date | 03/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174649552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39001705A (Indiana) | Primary |
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