| Heritage Behavioral Health Center, Inc. | |
|
151 N Main St Decatur IL 62523-1206 | |
| (217) 362-6262 | |
| Not Available |
| Full Name | Heritage Behavioral Health Center, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 151 N Main St, Decatur, Illinois |
| Authorized Official Name and Position | Diana Knabe (CEO) |
| Authorized Official Contact | 2174204702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Behavioral Health Center, Inc. 151 N Main St Decatur IL 62523-1206 Ph: (217) 362-6262 | Heritage Behavioral Health Center, Inc. 151 N Main St Decatur IL 62523-1206 Ph: (217) 362-6262 |
| NPI Number | 1740576982 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 06/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740576982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149012084 (Illinois) | Primary |
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