Organization · Type 2 NPI

Heritage Behavioral Health Center, Inc

Mental Health Clinic/Center (Including Community Mental Health Center) · Decatur, IL

NPI number 1235527524 Active

Practice location

327 W Prairie Ave
Decatur, IL 62522-2444

Call (217) 423-0548 Map

Fax (217) 632-6290

Mailing address

151 N Main St
Decatur, IL 62523

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Adult Mental Health Clinic/Center	261QM0850X	04070 (IL)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1235527524
Entity type: Organization (Type 2)
Issued: Jan 8, 2015
Last updated: Aug 27, 2024
Status: Active
Subpart: Yes of Heritage Behavioral Health Center Inc

Other names

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Heritage Behavioral Health Center, Inc · doing business as

Authorized official

Mary Garrison, LCSW
President/ceo
(217) 362-6262

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235527524

Heritage Behavioral Health Center, Inc's National Provider Identifier is 1235527524, issued on Jan 8, 2015. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Decatur, IL. The record was last updated on Aug 27, 2024.