Organization
HERITAGE BEHAVIORAL HEALTH CENTER, INC.
Active
Parent organization
HERITAGE BEHAVIORAL HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE BEHAVIORAL HEALTH CENTER, INC.
Authorized official
MARY GARRISON LCSW (CEO)
(217) 362-6262
Entity
Organization
Contact information
Practice address
2965 N MAIN ST STE E, DECATUR, IL 62526-4392
(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
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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