NPI | 1639231731 |
---|---|
Former Legal Business Name | DECATUR MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | MARY GARRISON CEO 217-362-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL T) |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: IL T) |
320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL T) | |
324500000X Substance Abuse Rehabilitation Facility (Licence: IL T) | |
Enumeration Date | 2006-12-14 |
Last Update Date | 2023-05-13 |