| Community Resource Center | |
|
423 W Main Vandalia IL 62471 | |
| (618) 283-4229 | |
| (618) 533-0012 |
| Full Name | Community Resource Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 423 W Main, Vandalia, Illinois |
| Authorized Official Name and Position | Denise Daum (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6185331391 |
| 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) 533-1391 | Community Resource Center 423 W Main Vandalia IL 62471 Ph: (618) 283-4229 |
| NPI Number | 1972771699 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972771699 | NPI | - | NPPES |
| 6115207 | Other | IL | BLUE CROSS |
| 04035 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |
Ten Broeck Tennessee Physicians Group Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 N 8th St, Vandalia, IL 62471 Phone: 618-283-1731 Fax: 618-283-0590 | |
Community Resource Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 W Main St, Vandalia, IL 62471 Phone: 618-283-4229 Fax: 618-533-0012 | |
Southern Illinois Healthcare Foundation, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1510 Sunset Dr, Vandalia, IL 62471 Phone: 618-283-3144 Fax: 618-283-3194 | |
Community Resource Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W Main St, Vandalia, IL 62471 Phone: 618-283-4229 Fax: 618-533-0012 | |
Mcs Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1404 N 5th St, Vandalia, IL 62471 Phone: 618-283-2883 | |
Brighter Days Mental Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 716a E 1700 Ave, Vandalia, IL 62471 Phone: 618-214-4990 | |
Wright Choice Counseling, Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1395 N 440 St, Vandalia, IL 62471 Phone: 618-699-8874 |