The Otherside a Behavioral Healthcare Corp
The Otherside a Behavioral Healthcare Corp is a Community/Behavioral Health Agency in Urbana, Illinois. Registered with an NPI since 2012.
- In the registry since
- 2012
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1717 Philo Rd Ste 23Urbana, IL 61802-6044
Phone: (217) 607-0098
Fax: (217) 298-0142
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1740543305 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leonard Deforge — Owner/Manager · (217) 607-0098 |
| Other names | The Otherside |
| NPI enumerated | June 19, 2012 |
| Last updated in NPPES | June 20, 2012 |
| Mailing address | 1717 Philo Rd, Suite 23, Urbana, IL 61802-6044 |
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