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Organization

CENTRAL EAST ALCOHOLISM AND DRUG COUNCIL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESSA M. PERDIEU MA CADC (EXECUTIVE DIRECTOR)
(217) 348-8108
Entity
Organization

Contact information

Practice address
8500 E COUNTY ROAD 150N, LERNA, IL 62440-2521
(217) 348-8108
(217) 345-6794
Mailing address
635 DIVISION ST, P.O. BOX 532, CHARLESTON, IL 61920-1902
(217) 348-8108
(217) 345-6794

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0631-0008-A
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CA-0631-0008-A
IL
Enumeration date
04/27/2015
Last updated
10/22/2018
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