Organization
GRANT-BLACKFORD MENTAL HEALTH, INC.
Active
Other names
RADIANT HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A. DOMINISSE (CEO)
(765) 668-6713
Entity
Organization
Contact information
Practice address
505 N WABASH AVE, MARION, IN 46952-2608
(765) 662-3971
(765) 662-7480
Mailing address
505 N WABASH AVE, MARION, IN 46952-2608
(765) 662-3971
(765) 662-7480
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
414
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100123170A
—
IN
Enumeration date
08/16/2005
Last updated
09/08/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us