institution
Heritage Behavioral Health Center Inc.
Primary Care Nurse Practitioner in Decatur, Illinois
NPI 1104609544

Heritage Behavioral Health Center Inc. is a Primary Care Nurse Practitioner based in Decatur, IL and is specialized in Primary Care. Heritage Behavioral Health Center Inc. practices in Decatur, IL. The NPI Number for Heritage Behavioral Health Center Inc. is 1104609544 and holds a License No. (Illinois).

The current practice location address for Heritage Behavioral Health Center Inc. is 243 W Cerro Gordo St, Decatur, IL and can be reached out via phone at 217-422-3940. You can also correspond with Heritage Behavioral Health Center Inc. through the mailing address at 151 N MAIN ST, DECATUR, IL - 62523-1206 (mailing address contact number: 217-362-6262).

Location: 243 W Cerro Gordo St, Decatur, IL, 62523-1206
institution
Provider Profile Details
NPI Number
1104609544
Provider Name
Heritage Behavioral Health Center Inc.
Credential
Provider Entity Type
Organization
Address
243 W Cerro Gordo St, Decatur, IL, 62523-1206
Phone Number
217-422-3940
Fax Number
Provider Enumeration Date
08/17/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
243 W Cerro Gordo St
City
State
Zip
62522-2101
Phone Number
217-422-3940
Fax Number
person
Provider Business Mailing Address Details
Address
151 N Main St
City
State
Zip
62523-1206
Phone Number
217-362-6262
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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