Heritage At Thomas Jefferson Middle School

LBN: Heritage Behavioral Health Center
Heritage At Thomas Jefferson Middle School is an health care organization with primary practice located at 4735 E Cantrell St , Decatur IL 62521-8720. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Heritage Behavioral Health Center can be contacted via phone (217) 362-6262, or through Clevenger, Candace via phone (217) 362-6262.

Contact Information

Primary practice address
4735 E Cantrell St Decatur IL 62521-8720
Phone: (217) 362-6262
Fax: (217) 362-6290
Website:
Map and Directions
Authorized official contact:
Name: Clevenger, Candace
Phone: (217) 362-6262

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 04070 Illinois

Profile Details

NPI number 1245781129
LBN Legal business name Heritage Behavioral Health Center
DBA Doing business as Heritage At Thomas Jefferson Middle School
Authorized official Clevenger, Candace
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2016
Last updated Oct 18th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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