OrganizationActive
Community Resource Center Inc.
NPI 1154599884 · Substance Use Disorder Rehabilitation Clinic/Center · Carlyle, IL
Provider details
- NPI number
- 1154599884
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Georgianne Broughton, Executive Director(618) 533-1391
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
580 8th St
Carlyle, IL 62231-1803
Phone: (618) 594-4581
Fax: (618) 533-0012
Approximate (ZIP-level) locationGet directions
Mailing address
904 E. Martin Luther King Drive
Centralia, IL 62801-3506
Registry dates
- Enumerated
- 2008-02-15
- 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.