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COMMUNITY RESOURCE CENTER INC.
NPI 1518246776
Community/Behavioral Health in Centralia, IL

Active since August 05, 2011
904 E. MARTIN LUTHER KING DRIVE, CENTRALIA, IL 62801(618) 533-1391(618) 533-0012 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1518246776) is a healthcare organization registered as a community/behavioral health in Centralia, Illinois and active in the NPI registry since August 2011. The organization lists Georgianne Broughton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1518246776
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY RESOURCE CENTER INC.
Location Address904 E. MARTIN LUTHER KING DRIVECentralia, IL 62801-6280
Mailing Address101 S Locust StCentralia, IL 62801-3506 · (618) 533-1391 · Fax (618) 533-0012
Phone(618) 533-1391
Fax(618) 533-0012
Organization SubpartNo
Authorized OfficialGeorgianne BroughtonExecutive Director · (618) 533-1391
Enumeration DateAugust 5, 2011
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedNovember 12, 2021
✔ NPI 1518246776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in IL · 04035
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. MARTIN LUTHER KING DRIVE, Centralia, IL 62801
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Other Identifiers 1

Medicaid04035IL

Other Providers at the Same Location NPPES 17

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

MRS. LOLITA ISAIAH
Counselor (Mental Health)
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
LINDA HANNA
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
ANGEL WAGNER
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
ADAM BORGES
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
ALAYNA MOORE
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
WENDY SUEY
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
JANNA PIERCE
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
KURTISS HASSEBROCK
Counselor
904 E. MARTIN LUTHER KING 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 1518246776. It was assigned to this organization in the NPPES registry on August 5, 2011.

Where is Community Resource Center Inc. located?

Community Resource Center Inc. is located at 904 E. Martin Luther King Drive, Centralia, IL 62801. The listed phone number is (618) 533-1391.

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 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.