Organization
GRANT-BLACKFORD MENTAL HEALTH, INC.
Active
Organization
GRANT-BLACKFORD MENTAL HEALTH, INC.
Active
Other names
Radiant Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
STACY HAYES (WORKFLOW ANALYST & CREDENTIALING)
(765) 667-8520
Entity
Organization
Contact information
Practice address
505 N WABASH AVE, MARION, IN 46952-2608
(765) 662-3971
Mailing address
505 N WABASH AVE, MARION, IN 46952-2608
(765) 662-3971
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/27/2024
Last updated
01/15/2025
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