| NPI | 1053088252 |
|---|---|
| Former Legal Business Name | MENTAL HEALTH AMERICA OF TIPPECANOE COUNTY INC |
| Entity Type | Organization |
| Authorized Contact | BRANDI RAE CHRISTIANSEN President And CEO 765-742-1800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 172A00000X Driver | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |