| Community Resource Center | |
|
101 S Locust St Centralia IL 62801-3506 | |
| (618) 267-1735 | |
| Not Available |
| Full Name | Community Resource Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 S Locust St, Centralia, Illinois |
| Authorized Official Name and Position | Brandon Lewis Farley (MENTAL HEALTH WORKER) |
| Authorized Official Contact | 6185330012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Resource Center 101 S Locust St Centralia IL 62801-3506 Ph: (618) 267-1735 | Community Resource Center 101 S Locust St Centralia IL 62801-3506 Ph: (618) 267-1735 |
| NPI Number | 1871896936 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 12/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871896936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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