Community Resource Center Inc. in Centralia - Mental Health (including Community Mental Health Center)
Community Resource Center Inc. - NPI 1487822102
Community Resource Center Inc. is a Mental Health (including Community Mental Health Center) in Centralia, Illinois. Community Resource Center Inc. practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Community Resource Center Inc. is 1487822102. The last update date is 2021-12-17.
Community Resource Center Inc.'s current location address is 904 E. Martin Luther King Drive, Centralia, Illinois. You can contact this provider via phone number 6185331391 and fax number 6185330012. The mailing address for Community Resource Center Inc. is 904 E. Martin Luther King Drive, Centralia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Resource Center Inc. |
|---|---|
| Address | 904 E. Martin Luther King Drive, Centralia, Illinois |
| Phone Number | 6185331391 |
| Fax Number | 6185330012 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Broughton Georgianne |
| Telephone Number | 6185331391 |
NPI Number Detail
| NPI Number | 1487822102 |
|---|---|
| Provider Enumeration Date | 2008-02-15 |
| Last Updated Date | 2021-12-17 |
Provider Mailing Address Detail
| Address | 904 E. Martin Luther King Drive |
|---|---|
| City | Centralia |
| State | Illinois (IL) |
| Post Code | 628013506 |
| Phone Number | 6185331391 |
| Fax Number | 6185330012 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4035 | IL | -- |
Post Comment/ Review Below
What is the Community Resource Center Inc.'s 1487822102?
The Community Resource Center Inc.'s NPI (National Provider Identifier) Number is 1487822102. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Community Resource Center Inc.?
The Community Resource Center Inc. is physically situated at 904 E. Martin Luther King Drive, in the city of Centralia, state of IL, with the postal code 628013506.
What is Community Resource Center Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Community Resource Center Inc. is Mental Health (including Community Mental Health Center), and the taxonomy classification code that categorizes this area of expertise is 261Qm0801X.
On what date did the Community Resource Center Inc. receive the assignment of its 1487822102 from the Centers for Medicare & Medicaid Services?
The Community Resource Center Inc. was issued its 1487822102 by the Centers for Medicare & Medicaid Services on 2008-02-15.
When was the information regarding Community Resource Center Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Community Resource Center Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-17.
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