Provider Demographics
NPI:1396490256
Name:BUILDING A STRONGER FAMILY
Entity type:Organization
Organization Name:BUILDING A STRONGER FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHON
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:WATTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-797-5892
Mailing Address - Street 1:921 E DUPONT RD # 909
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-1551
Mailing Address - Country:US
Mailing Address - Phone:260-797-5892
Mailing Address - Fax:
Practice Address - Street 1:201 E RUDISILL BLVD STE B102
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46806-1756
Practice Address - Country:US
Practice Address - Phone:260-797-5892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty