| NPI | 1407848500 |
|---|---|
| Doing Business As | RADIANT HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | LISA A. DOMINISSE CEO 765-668-6713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 414) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2023-09-08 |