Organization
HERITAGE BEHAVIORAL HEALTH CENTER
Active
Parent organization
HERITAGE BEHAVIORAL HEALTH CENTER, INC
Other names
Heritage at Crossing Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE BEHAVIORAL HEALTH CENTER, INC
Authorized official
MRS. CANDACE CLEVENGER (PRESIDENT/CEO)
(217) 362-6262
Entity
Organization
Contact information
Practice address
320 E CENTRAL AVE, DECATUR, IL 62521-4665
(217) 877-9117
(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
101Y00000X
Counselor
Primary
04070
IL
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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