Organization
HERITAGE BEHAVIORAL HEALTH CENTER
Active
Other names
Heritage at Thomas Jefferson Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE CLEVENGER (PRESIDENT/CEO)
(217) 362-6262
Entity
Organization
Contact information
Practice address
4735 E CANTRELL ST, DECATUR, IL 62521-8720
(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
251S00000X
Community/Behavioral Health Agency
Primary
04070
IL
Other
Enumeration date
10/17/2016
Last updated
10/18/2016
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