| Grant-blackford Mental Health, Inc. | |
|
505 N Wabash Ave Marion IN 46952-2608 | |
| (765) 662-3971 | |
| Not Available |
| Full Name | Grant-blackford Mental Health, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 505 N Wabash Ave, Marion, Indiana |
| Authorized Official Name and Position | Stacy Hayes (WORKFLOW ANALYST & CREDENTIALING) |
| Authorized Official Contact | 7656678520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant-blackford Mental Health, Inc. 505 N Wabash Ave Marion IN 46952-2608 Ph: (765) 662-3971 | Grant-blackford Mental Health, Inc. 505 N Wabash Ave Marion IN 46952-2608 Ph: (765) 662-3971 |
| NPI Number | 1437983103 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437983103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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