Organization
COMMUNITY RESOURCE & COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURELYN CROPEK LCSW (EXECUTIVE DIRECTOR)
(217) 379-4302
Entity
Organization
Contact information
Practice address
1510 W OTTAWA RD, PAXTON, IL 60957-4090
(217) 379-4302
(217) 817-0379
Mailing address
1510 W OTTAWA RD, PAXTON, IL 60957-4090
(217) 379-4302
(217) 379-4304
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A76520001A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A7652001A
DIVISION OF ALCOHOLISM AND SUBSTANCE ABUSE
IL
Enumeration date
04/14/2017
Last updated
11/29/2022
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