Central East Alcoholism And Drug Council

NPI 1053450601 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1053450601
Enumeration Date 02/06/2007
Last Updated 05/05/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PAMELA P. PAMELA
Position EXECUTIVE DIRECTOR
Phone (217) 348-8108
Fax (217) 345-6794
Practice Location
635 DIVISION ST FL 1
CHARLESTON IL, 61920-1902, US
Phone (217) 348-8108
Fax (217) 345-6794
Business Location
635 DIVISION ST FL 1
P.O. BOX 532
CHARLESTON IL, 61920-1902, US
Phone (217) 348-8108
Fax (217) 345-6794
Toxanomy
Taxonomy Code 324500000X
License State Illinois
License Number A-0631-0009-A
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According to our database, Central East Alcoholism And Drug Council NPI is 1053450601, taxonomy code is 324500000X and license number is A-0631-0009-A, license state is located at Illinois. Central East Alcoholism And Drug Council physically located at 635 Division St Fl 1, Charleston IL, 61920-1902. NPI Number 1033115704 has the healthcare provider type.

1053450601 NPI number is provided on an as is basis without warranty of any kind. 1053450601 is maintained by the National Plan & Provider Enumeration System. The contents of Central East Alcoholism And Drug Council are for informational purposes only.