Heritage Behavioral Health Center

NPI #1942657184 in Decatur, Illinois

Provider Information

NPI Number: 1942657184
Entity Type: Organization
Organization Name: Heritage Behavioral Health Center
Subpart: Yes (part of a larger organization)
Parent Organization: HERITAGE BEHAVIORAL HEALTH CENTER, INC
Primary Specialty: Counselor
Enumeration Date: May 18, 2016
Last Updated: May 18, 2016

Practice Location

Address: 320 E CENTRAL AVE
City: Decatur
State: Illinois
ZIP Code: 62521-4665
Phone: (217) 877-9117

Authorized Official

Name: MRS. CANDACE CLEVENGER
Title: PRESIDENT/CEO
Phone: (217) 362-6262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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