Central East Alcoholism and Drug Council
Organization Active NPI Substance Abuse Rehabilitation Facility · Charleston, IL
NPI 1649657180 · NPPES record last updated Oct 22, 2018
Key facts
- NPI
- 1649657180
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- A-0631-0001-A (IL)
- Legal business name
- CENTRAL EAST ALCOHOLISM AND DRUG COUNCIL
- Practice address
- 1501 1/2 18TH St
Charleston, IL 61920-3603 - Phone
- (217) 348-8108
- Fax
- (217) 345-6794
- NPI assigned
- May 5, 2015
- Organization subpart
- No
Authorized official
- Name
- Teressa M. Perdieu, MA CADC
- Title
- Executive Director
- Phone
- (217) 348-8108
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Central East Alcoholism and Drug Council
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | A-0631-0001-A | IL | Yes |
Addresses
Primary practice location
1501 1/2 18TH St
Charleston, IL 61920-3603
Mailing address
635 Division St
P.O. Box 532
Charleston, IL 61920-1902
Phone (217) 348-8108
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA-0631-0001-A | Medicaid | IL |
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- Central East Alcoholism and Drug Council
- Central East Alcoholism and Drug Council
- Central East Alcoholism and Drug Council
- Central East Alcoholism and Drug Council
- Central East Alcoholism and Drug Council
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All providers in Charleston, IL · Substance Abuse Rehabilitation Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.