Organization
HERITAGE BEHAVIORAL HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GARRISON LCSW (CEO)
(217) 362-6262
Entity
Organization
Contact information
Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
(217) 362-6290
Mailing address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
(217) 362-6290
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
05/15/2023
Last updated
06/01/2023
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