Organization · Type 2 NPI

Community Resource Center

Mental Health Clinic/Center (Including Community Mental Health Center) · Centralia, IL

NPI number 1740458462 Active

Practice location

867 Mlk Drive
Centralia, IL 62801-5618

Fax (618) 533-0012

Mailing address

904 E. Martin Luther King Drive
Centralia, IL 62801-3506

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1740458462

Community Resource Center's National Provider Identifier is 1740458462, issued on Feb 15, 2008. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Centralia, IL. The record was last updated on Jul 13, 2018.