Community Resource Center Inc. in Carlyle - Rehabilitation, Substance Use Disorder
Community Resource Center Inc. - NPI 1154599884
Community Resource Center Inc. is a Rehabilitation, Substance Use Disorder in Carlyle, Illinois. Community Resource Center Inc. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Community Resource Center Inc. is 1154599884. The last update date is 2021-12-17.
Community Resource Center Inc.'s current location address is 580 8th St, Carlyle, Illinois. You can contact this provider via phone number 6185944581 and fax number 6185330012. The mailing address for Community Resource Center Inc. is 580 8th St, Carlyle, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Resource Center Inc. |
|---|---|
| Address | 580 8th St, Carlyle, Illinois |
| Phone Number | 6185944581 |
| 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 | 1154599884 |
|---|---|
| Provider Enumeration Date | 2008-02-15 |
| Last Updated Date | 2021-12-17 |
Provider Mailing Address Detail
| Address | 580 8th St |
|---|---|
| City | Carlyle |
| State | Illinois (IL) |
| Post Code | 622311803 |
| Phone Number | 6185944581 |
| Fax Number | 6185330012 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A-00235-0002-A | IL | DHS LICENSE NUMBER | |
| 6115207 | IL | BLUE CROSS | |
| A-00235-0003-A | IL | DHS LICENSE NUMBER | |
| A-00235-0004-A | IL | DHS LICENSE NUMBER | |
| 4035 | IL | -- | |
| A-00235-0001-A | IL | DHS LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Community Resource Center Inc.?
The Community Resource Center Inc. has been issued the NPI (National Provider Identifier) 1154599884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Community Resource Center Inc. is located?
The Community Resource Center Inc. is situated at the following address: 580 8Th St, Carlyle, IL, 622311803.
What is the area of specialization for Community Resource Center Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Community Resource Center Inc. is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of expertise is 261Qr0405X.
On what date was the 1154599884 assigned to Community Resource Center Inc.?
The Community Resource Center Inc. was issued its 1154599884 on 2008-02-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Community Resource Center Inc. most recently updated or revised?
The information pertaining to Community Resource Center Inc., including its address, specialty, and other relevant details, was last updated or revised on 2021-12-17.
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