institution
Community Resource Center Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Carlyle, Illinois
NPI 1154599884

Community Resource Center Inc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Centralia, IL and is specialized in Rehabilitation, Substance Use Disorder. Community Resource Center Inc. practices in Carlyle, IL. The NPI Number for Community Resource Center Inc. is 1154599884 and holds a License No. (Illinois).

The current practice location address for Community Resource Center Inc. is 580 8Th St, Carlyle, IL and can be reached out via phone at 618-594-4581 and via fax at 618-533-0012.

Location: 580 8Th St, Carlyle, IL, 62801-3506
institution
Provider Profile Details
NPI Number
1154599884
Provider Name
Community Resource Center Inc.
Credential
Provider Entity Type
Organization
Address
580 8Th St, Carlyle, IL, 62801-3506
Phone Number
618-594-4581
Fax Number
618-533-0012
Provider Enumeration Date
02/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A-00235-0002-A 01 IL DHS LICENSE NUMBER
6115207 01 IL BLUE CROSS
A-00235-0003-A 01 IL DHS LICENSE NUMBER
A-00235-0004-A 01 IL DHS LICENSE NUMBER
04035 05 IL
A-00235-0001-A 01 IL DHS LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
580 8Th St
City
State
Zip
62231-1803
Phone Number
618-594-4581
Fax Number
618-533-0012
person
Provider Business Mailing Address Details
Address
580 8Th St
City
State
Zip
62231-1803
Phone Number
618-594-4581
Fax Number
618-533-0012
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
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Definition
Definition to come...
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