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1370 E Carrie Lane Decatur IL 62526 | |
| (217) 421-7297 | |
| (217) 362-6290 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1370 E Carrie Lane, Decatur, Illinois |
| Authorized Official Name and Position | Mary Garrison (PRESIDENT/CEO) |
| Authorized Official Contact | 2173626262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 710 Decatur IL 62525-0710 Ph: (217) 362-6262 | 1370 E Carrie Lane Decatur IL 62526 Ph: (217) 421-7297 |
| NPI Number | 1659544872 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659544872 | NPI | - | NPPES |
A & E Behavioral Health Care Associates Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2570 Federal Drive, Decatur, IL 62526 Phone: 217-872-1003 Fax: 217-233-4150 | |
Armor Bearer Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 861 W William St, Decatur, IL 62522 Phone: 217-402-4226 | |
Decatur Psychological Associates Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3040 N University Ave, Suite 2, Decatur, IL 62526 Phone: 217-872-1700 Fax: 217-872-1366 |