Community Resource Center, INC

NPI #1770718439 in Salem, Illinois

Provider Information

NPI Number: 1770718439
Entity Type: Organization
Organization Name: Community Resource Center, INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 26, 2009
Last Updated: Jan 3, 2020

Practice Location

Address: 315 WESTGATE
City: Salem
State: Illinois
ZIP Code: 62881
Phone: (618) 548-2181

Authorized Official

Name: GEORGIANNE BROUGHTON, LPHA, LCPC
Title: EXECUTIVE DIRECTOR
Phone: (618) 533-1391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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