Organization
PREVENTION AND TREATMENT SERVICES OF DECATUR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LELAH M RAY MA, CADC (OWNER)
(217) 330-9587
Entity
Organization
Contact information
Practice address
235 N MILL ST STE 800, DECATUR, IL 62523-1381
(217) 330-9587
Mailing address
235 N MILL ST STE 800, DECATUR, IL 62523-1381
(217) 330-9587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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