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Community Resource Center Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Centralia, Illinois
NPI 1629204888

Community Resource Center Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Centralia, IL and is specialized in Mental Health (Including Community Mental Health Center). Community Resource Center Inc. practices in Centralia, IL. The NPI Number for Community Resource Center Inc. is 1629204888 and holds a License No. (Illinois).

The current practice location address for Community Resource Center Inc. is 904 East Martin Luther King Drive, Centralia, IL and can be reached out via phone at 618-533-1391 and via fax at 618-533-0012.

Location: 904 East Martin Luther King Drive, Centralia, IL, 62801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629204888
Provider Name
Community Resource Center Inc.
Credential
Provider Entity Type
Organization
Address
904 East Martin Luther King Drive, Centralia, IL, 62801
Phone Number
618-533-1391
Fax Number
618-533-0012
Provider Enumeration Date
06/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04035 05 IL
671700 01 IL MEDICARE
institution
Provider Business Practice Location Address Details
Address
904 East Martin Luther King Drive
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1391
Fax Number
618-533-0012
person
Provider Business Mailing Address Details
Address
904 East Martin Luther King Drive
City
Centralia
State
Illinois
Zip
62801
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
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
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Definition
Definition to come...
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