institution
Central East Alcoholism And Drug Council
Substance Use Disorder Rehabilitation Clinic/Center in Mattoon, Illinois
NPI 1508243361

Central East Alcoholism And Drug Council is a Substance Use Disorder Rehabilitation Clinic/Center based in Charleston, IL and is specialized in Rehabilitation, Substance Use Disorder. Central East Alcoholism And Drug Council practices in Mattoon, IL. The NPI Number for Central East Alcoholism And Drug Council is 1508243361 and holds a License No. A-0631-0003-A (Illinois).

The current practice location address for Central East Alcoholism And Drug Council is 416 N 19Th St, Mattoon, IL and can be reached out via phone at 217-348-8108 and via fax at 217-345-6794. You can also correspond with Central East Alcoholism And Drug Council through the mailing address at 635 DIVISION ST, CHARLESTON, IL - 61920-1902 (mailing address contact number: 217-348-8108).

Location: 416 N 19Th St, Mattoon, IL, 61920-1902
institution
Provider Profile Details
NPI Number
1508243361
Provider Name
Central East Alcoholism And Drug Council
Credential
Provider Entity Type
Organization
Address
416 N 19Th St, Mattoon, IL, 61920-1902
Phone Number
217-348-8108
Fax Number
217-345-6794
Provider Enumeration Date
04/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA-0631-0003-A 05 IL
institution
Provider Business Practice Location Address Details
Address
416 N 19Th St
City
State
Zip
61938-2842
Phone Number
217-348-8108
Fax Number
217-345-6794
person
Provider Business Mailing Address Details
Address
635 Division St
City
State
Zip
61920-1902
Phone Number
217-348-8108
Fax Number
217-345-6794
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
A-0631-0003-A (Illinois)
Definition
Definition to come...
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