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
726 4TH ST, CHARLESTON, IL 61920-1923
(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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0631-0007-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA-0631-0007-A
—
IL
Enumeration date
05/05/2015
Last updated
10/22/2018
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