NPI | 1164778031 |
---|---|
Doing Business As | CROSSING HEALTHCARE AT HERITAGE BEHAVIORAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | THOMAS L WEST Finance Director / CFO 217-877-6127 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2018-05-17 |