| NPI | 1154872026 |
|---|---|
| Doing Business As | HERITAGE AT EISENHOWER HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | CANDACE CLEVENGER President/CEO 217-362-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 04070) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-18 |