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COMMUNITY RESOURCE CENTER INC.
NPI 1063765055
Community/Behavioral Health in Centralia, IL

Active since October 16, 2012
904 E MLK DRIVE, CENTRALIA, IL 62801(618) 533-1301(618) 533-0012 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Community Resource Center Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY RESOURCE CENTER INC. (NPI 1063765055) is a healthcare organization registered as a community/behavioral health in Centralia, Illinois and active in the NPI registry since October 2012. The organization lists Georgianne Broughton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063765055
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY RESOURCE CENTER INC.
Location Address904 E MLK DRIVECentralia, IL 62801-3058
Mailing Address904 E. Martin Luther King Dr.Centralia, IL 62801-3058 · (618) 533-1301 · Fax (618) 533-0012
Phone(618) 533-1301
Fax(618) 533-0012
Organization SubpartNo
Authorized OfficialGeorgianne BroughtonExecutive Director · (618) 533-0012
Enumeration DateOctober 16, 2012
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedNovember 12, 2021
✔ NPI 1063765055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
904 E MLK DRIVE, Centralia, IL 62801
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY VANCE
Counselor (Mental Health)
904 E MLK DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
DONNA FINNEY
Counselor
904 E MLK DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Resource Center Inc.'s NPI number?

The NPI number for Community Resource Center Inc. is 1063765055. It was assigned to this organization in the NPPES registry on October 16, 2012.

Where is Community Resource Center Inc. located?

Community Resource Center Inc. is located at 904 E Mlk Drive, Centralia, IL 62801. The listed phone number is (618) 533-1301.

What is Community Resource Center Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Community Resource Center Inc. was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.