| Heritage Behavioral Health Center Inc. | |
|
151 N Main St Decatur IL 62523-1206 | |
| (217) 362-6262 | |
| (217) 362-6290 |
| Full Name | Heritage Behavioral Health Center Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 151 N Main St, Decatur, Illinois |
| Authorized Official Name and Position | Mary Garrison (CEO) |
| Authorized Official Contact | 2173626262 |
| 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 | 1023708880 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023708880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
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