Provider Demographics
NPI:1659257665
Name:THE SANCTION COMMUNITY OUTREACH
Entity type:Organization
Organization Name:THE SANCTION COMMUNITY OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBBIE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CRISS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:309-868-1050
Mailing Address - Street 1:2223 N FLORA AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61604-3470
Mailing Address - Country:US
Mailing Address - Phone:309-868-1050
Mailing Address - Fax:
Practice Address - Street 1:2201 SW ADAMS ST
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61602-1803
Practice Address - Country:US
Practice Address - Phone:309-327-3647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable