institution
Community Resource Center Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Vandalia, Illinois
NPI 1184850349

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 Vandalia, IL. The NPI Number for Community Resource Center Inc. is 1184850349 and holds a License No. (Illinois).

The current practice location address for Community Resource Center Inc. is 421 W Main St, Vandalia, IL and can be reached out via phone at 618-283-4229 and via fax at 618-283-9203. You can also correspond with Community Resource Center Inc. through the mailing address at 904 E. MARTIN LUTHER KING DRIVE, CENTRALIA, IL - 62801-3506 (mailing address contact number: 618-533-1391).

Location: 421 W Main St, Vandalia, IL, 62801-3506
institution
Provider Profile Details
NPI Number
1184850349
Provider Name
Community Resource Center Inc.
Credential
Provider Entity Type
Organization
Address
421 W Main St, Vandalia, IL, 62801-3506
Phone Number
618-283-4229
Fax Number
618-283-9203
Provider Enumeration Date
06/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
671700 01 IL MEDICARE
04035 05 IL
institution
Provider Business Practice Location Address Details
Address
421 W Main St
City
State
Zip
62471-2214
Phone Number
618-283-4229
Fax Number
618-283-9203
person
Provider Business Mailing Address Details
Address
904 E. Martin Luther King Drive
City
State
Zip
62801-3506
Phone Number
618-533-1391
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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