Organization
HERITAGE BEHAVIORAL HEALTH CENTER
Active
Other names
Heritage at Crossing Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE CLEVENGER (PRESIDENT/CEO)
(217) 362-6262
Entity
Organization
Contact information
Practice address
1029 N WATER ST, DECATUR, IL 62523-1022
(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
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-0200-0004-A
IL
Other
Enumeration date
10/25/2016
Last updated
12/14/2016
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