| Prevention And Treatment Services Of Decatur Inc | |
|
235 N Mill St Ste 800 Decatur IL 62523-1381 | |
| (217) 330-9587 | |
| Not Available |
| Full Name | Prevention And Treatment Services Of Decatur Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 235 N Mill St Ste 800, Decatur, Illinois |
| Authorized Official Name and Position | Lelah M Ray (OWNER) |
| Authorized Official Contact | 2173309587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevention And Treatment Services Of Decatur Inc 235 N Mill St Ste 800 Decatur IL 62523-1381 Ph: (217) 330-9587 | Prevention And Treatment Services Of Decatur Inc 235 N Mill St Ste 800 Decatur IL 62523-1381 Ph: (217) 330-9587 |
| NPI Number | 1851863799 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851863799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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