Organization · Type 2 NPI

Heritage Behavioral Health Center

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

NPI number 1659544872 Active

Practice location

1370 E Carrie Lane
Decatur, IL 62526

Call (217) 421-7297 Map

Fax (217) 362-6290

Mailing address

PO Box 710
Decatur, IL 62525-0710

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Mental Illness Community Based Residential Treatment Facility	320800000X	T (IL)

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

Other mental health clinic/center (including community mental health center) providers in Decatur

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NPI record

NPI: 1659544872
Entity type: Organization (Type 2)
Issued: Apr 9, 2008
Last updated: Sep 18, 2024
Status: Active
Subpart: Yes of Heritage Behavioral Health Center

Other names

<unavail>
Decatur Mental Center · former legal business name

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 1659544872

Heritage Behavioral Health Center's National Provider Identifier is 1659544872, issued on Apr 9, 2008. 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 Sep 18, 2024.