Grant-blackford Mental Health, Inc.

NPI 1407848500 - Clinic/Center - 261QM0801X

NPI Details
NPI 1407848500
Enumeration Date 08/16/2005
Last Updated 03/20/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PAUL G PAUL
Position CEO
Phone (765) 662-3971
Fax (765) 662-7480
Practice Location
505 N WABASH AVE
MARION IN, 46952-2608, US
Phone (765) 662-3971
Fax (765) 662-7480
Business Location
505 N WABASH AVE
MARION IN, 46952-2608, US
Phone (765) 662-3971
Fax (765) 662-7480
Toxanomy
Taxonomy Code 261QM0801X
License State Indiana
License Number 414
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According to our database, Grant-blackford Mental Health, Inc. NPI is 1407848500, taxonomy code is 261QM0801X and license number is 414, license state is located at Indiana. Grant-blackford Mental Health, Inc. physically located at 505 N Wabash Ave, Marion IN, 46952-2608. NPI Number 1033115704 has the healthcare provider type.

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1407848500 NPI number is provided on an as is basis without warranty of any kind. 1407848500 is maintained by the National Plan & Provider Enumeration System. The contents of Grant-blackford Mental Health, Inc. are for informational purposes only.