institution
Community Resource Center Inc
Substance Use Disorder Rehabilitation Clinic/Center in Salem, Illinois
NPI 1932377652

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 Salem, IL. The NPI Number for Community Resource Center Inc is 1932377652 and holds a License No. (Illinois).

The current practice location address for Community Resource Center Inc is 315 Westgate Ave, Salem, IL and can be reached out via phone at 618-548-2181 and via fax at 618-533-0012.

Location: 315 Westgate Ave, Salem, IL, 62801-3506
institution
Provider Profile Details
NPI Number
1932377652
Provider Name
Community Resource Center Inc
Credential
Provider Entity Type
Organization
Address
315 Westgate Ave, Salem, IL, 62801-3506
Phone Number
618-548-2181
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
04035 05 IL
A-00235-0001-A 01 IL DHS LICENSE NUMBER
6115207 01 IL BLUE CROSS
A-00235-0003-A 01 IL DHS LICENSE NUMBER
A-00235-0002-A 01 IL DHS LICENSE NUMBER
A-00235-0004-A 01 IL DHS LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
315 Westgate Ave
City
State
Zip
62881
Phone Number
618-548-2181
Fax Number
618-533-0012
person
Provider Business Mailing Address Details
Address
315 Westgate Ave
City
State
Zip
62881
Phone Number
618-548-2181
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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