| Heritage Behavioral Health Center | |
|
320 E Central Ave Decatur IL 62521-4665 | |
| (217) 877-9117 | |
| (217) 362-6290 |
| Full Name | Heritage Behavioral Health Center |
|---|---|
| Speciality | Counselor |
| Location | 320 E Central Ave, Decatur, Illinois |
| Authorized Official Name and Position | Candace Clevenger (PRESIDENT/CEO) |
| Authorized Official Contact | 2173626262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Behavioral Health Center 151 N Main St Decatur IL 62523-1206 Ph: (217) 362-6262 | Heritage Behavioral Health Center 320 E Central Ave Decatur IL 62521-4665 Ph: (217) 877-9117 |
| NPI Number | 1942657184 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 05/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942657184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 04070 (Illinois) | Primary |
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