The Otherside

LBN: The Otherside A Behavioral Healthcare Corp
The Otherside is an health care organization with primary practice located at 1717 Philo Rd Suite 23, Urbana IL 61802-6044. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. The Otherside A Behavioral Healthcare Corp can be contacted via phone (217) 607-0098, or through Deforge, Leonard Eugene via phone (217) 607-0098.

Contact Information

Primary practice address
1717 Philo Rd Suite 23 Urbana IL 61802-6044
Phone: (217) 607-0098
Fax: (217) 298-0142
Website:
Map and Directions
Authorized official contact:
Name: Deforge, Leonard Eugene
Phone: (217) 607-0098

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1740543305
LBN Legal business name The Otherside A Behavioral Healthcare Corp
DBA Doing business as The Otherside
Authorized official Deforge, Leonard Eugene
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2012
Last updated Jun 20th, 2012 - about 12 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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