Central East Alcoholism And Drug Council in Charleston - Substance Abuse Rehabilitation Facility
Central East Alcoholism And Drug Council - NPI 1053450601
Central East Alcoholism And Drug Council is a Substance Abuse Rehabilitation Facility in Charleston, Illinois. Central East Alcoholism And Drug Council practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Central East Alcoholism And Drug Council is 1053450601. The last update date is 2018-10-22.
Central East Alcoholism And Drug Council's current location address is 635 Division St Fl 1, Charleston, Illinois. You can contact this provider via phone number 2173488108 and fax number 2173456794. The mailing address for Central East Alcoholism And Drug Council is 635 Division St Fl 1, Charleston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central East Alcoholism And Drug Council |
|---|---|
| Address | 635 Division St Fl 1, Charleston, Illinois |
| Phone Number | 2173488108 |
| Fax Number | 2173456794 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Perdieu M. Teressa |
| Credentials | MA CADC |
| Telephone Number | 2173488108 |
NPI Number Detail
| NPI Number | 1053450601 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2018-10-22 |
Provider Mailing Address Detail
| Address | 635 Division St Fl 1 |
|---|---|
| City | Charleston |
| State | Illinois (IL) |
| Post Code | 619201902 |
| Phone Number | 2173488108 |
| Fax Number | 2173456794 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | A-0631-0009- |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CA-0631-0009-A | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Central East Alcoholism And Drug Council by the Centers for Medicare & Medicaid Services (CMS)?
The Central East Alcoholism And Drug Council has been assigned the NPI (National Provider Identifier) 1053450601. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Central East Alcoholism And Drug Council?
The Central East Alcoholism And Drug Council is physically situated at 635 Division St Fl 1, in the city of Charleston, state of IL, with the postal code 619201902.
What is Central East Alcoholism And Drug Council's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Central East Alcoholism And Drug Council is Substance Abuse Rehabilitation Facility, and the taxonomy code that classifies this field of practice is 324500000X.
On what date did the Central East Alcoholism And Drug Council receive its 1053450601 assignment from the Centers for Medicare & Medicaid Services?
The Central East Alcoholism And Drug Council was assigned its 1053450601 by the Centers for Medicare & Medicaid Services on 2007-02-06.
As of what date was the information pertaining to Central East Alcoholism And Drug Council, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Central East Alcoholism And Drug Council, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-10-22.