| NPI | 1235772625 |
|---|---|
| Doing Business As | HERITAGE COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT D. HENDRICKSON Director 815-577-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |