| NPI | 1821540865 |
|---|---|
| Doing Business As | HERITAGE AT CROSSING HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | CANDACE CLEVENGER President/CEO 217-362-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL A-0200-0004-A) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-12-14 |