Organization
COMMUNITY RESOURCE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGIANNE BROUGHTON (EXECUTIVE DIRECTOR)
(618) 533-0012
Entity
Organization
Contact information
Practice address
904 E MLK DRIVE, CENTRALIA, IL 62801-3058
(618) 533-1301
(618) 533-0012
Mailing address
904 E. MARTIN LUTHER KING DR., CENTRALIA, IL 62801-3058
(618) 533-1301
(618) 533-0012
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
12/17/2021
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