Organization · Type 2 NPI
Heritage Behavioral Health Center Inc.
Primary Care Clinic/Center · Decatur, IL
NPI number
1104609544
Active
Practice location
243 W Cerro Gordo St
Decatur, IL 62522-2101
Mailing address
151 N Main St
Decatur, IL 62523-1206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Decatur
About NPI 1104609544
Heritage Behavioral Health Center Inc.'s National Provider Identifier is 1104609544, issued on Aug 17, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Decatur, IL. The record was last updated on Aug 17, 2023.