OrganizationActive
Community Resource Center Inc.
NPI 1063765055 · Community/Behavioral Health Agency · Centralia, IL
Provider details
- NPI number
- 1063765055
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Georgianne Broughton, Executive Director(618) 533-0012
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
904 E Mlk Drive
Centralia, IL 62801-3058
Phone: (618) 533-1301
Fax: (618) 533-0012
Street-level locationGet directions
Mailing address
904 E. Martin Luther King Dr.
Centralia, IL 62801-3058
Registry dates
- Enumerated
- 2012-10-16
- Last updated
- 2021-12-17
- Certified
- 2021-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.