| Lifeway Behavioral Health Services Inc. | |
|
200 E Main St Clinton IL 61727-3001 | |
| (217) 935-3900 | |
| Not Available |
| Full Name | Lifeway Behavioral Health Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 E Main St, Clinton, Illinois |
| Authorized Official Name and Position | William Daniel Melton (CEO) |
| Authorized Official Contact | 2179353900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeway Behavioral Health Services Inc. 200 E Main St Clinton IL 61727-3001 Ph: (217) 935-3900 | Lifeway Behavioral Health Services Inc. 200 E Main St Clinton IL 61727-3001 Ph: (217) 935-3900 |
| NPI Number | 1750721072 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750721072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A53210001A (Illinois) | Primary |
Heritage Behavioral Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Clinton Plz, Hwy 54, Clinton, IL 61727 Phone: 217-362-6262 Fax: 217-362-6290 | |
Heritage Behavioral Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Sunrise Ct, Clinton, IL 61727 Phone: 217-362-6262 Fax: 217-362-6290 |