Organization
HERITAGE BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER NICOLE GREEN (REIMBUSEMENT SERVICES)
(217) 420-4776
Entity
Organization
Contact information
Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
(217) 362-6290
Mailing address
PO BOX 710, DECATUR, IL 62525-0710
(217) 362-6262
(217) 362-6290
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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