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COMMUNITY RESOURCE CENTER INC
NPI 1841468568
Community/Behavioral Health in Centralia, IL

Active since February 15, 2008
904 EAST MARTIN LUTHER KING DRIVE, CENTRALIA, IL 62801(618) 533-1391(618) 533-0012 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 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 1841468568) is a healthcare organization registered as a community/behavioral health in Centralia, Illinois and active in the NPI registry since February 2008. The organization lists Denise Daum, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1841468568
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY RESOURCE CENTER INC
Location Address904 EAST MARTIN LUTHER KING DRIVECentralia, IL 62801
Mailing Address101 S Locust StCentralia, IL 62801-3506 · (618) 533-1391 · Fax (618) 533-0012
Phone(618) 533-1391
Fax(618) 533-0012
Organization SubpartYesParent: Community Resource Center
Authorized OfficialDenise DaumExecutive Director · (618) 533-1391
Enumeration DateFebruary 15, 2008
Last NPPES UpdateMay 7, 2012
✔ NPI 1841468568 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 EAST MARTIN LUTHER KING DRIVE, Centralia, IL 62801
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Other Identifiers 2

Medicare PIN671700IL
Medicaid04035IL

Other Providers at the Same Location NPPES 4

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

COMMUNITY RESOURCE CENTER INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
904 EAST MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
BETTINA MCCULLOCH MSW
Counselor (Mental Health)
904 EAST MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
MEGAN BORLAND
Counselor (Mental Health)
904 EAST MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
COMMUNITY RESOURCE CENTER INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
904 EAST 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 1841468568. It was assigned to this organization in the NPPES registry on February 15, 2008.

Where is Community Resource Center Inc located?

Community Resource Center Inc is located at 904 East 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 May 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.