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General NPI Number Information
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NPI Number | 1770420861
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Entity Type | Organization
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Legal Business Name | BUILDING RECOVERY COMMUNITIES COALITION NFP
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 300 S LINCOLN ST
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City | KARNAK
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State | IL
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Zip | 62956-0066
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Country | US
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Telephone | 618-602-8363
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Fax | 618-602-8363
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Provider Business Mailing Address
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Address Line | PO BOX 66
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City | KARNAK
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State | IL
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Zip | 62956-0066
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Country | US
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Telephone | 618-602-8363
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Fax | 618-634-2819
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | BOBBIE THOMPSON
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Credential | MBA, MHP
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Telephone | 618-602-8363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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