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CENTRAL EAST ALCOHOLISM AND DRUG COUNCIL
NPI 1508243361
Clinic/Center - Rehabilitation, Substance Use Disorder in Mattoon, IL

Active since April 30, 2015CLIA 14D2030094 · Waiver
416 N 19TH ST, MATTOON, IL 61938(217) 348-8108(217) 345-6794 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Central East Alcoholism And Drug Council NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL EAST ALCOHOLISM AND DRUG COUNCIL (NPI 1508243361) is a healthcare organization registered as a rehabilitation, substance use disorder in Mattoon, Illinois and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Teressa M. Perdieu, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1508243361
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCENTRAL EAST ALCOHOLISM AND DRUG COUNCIL
Location Address416 N 19TH STMattoon, IL 61938-2842
Mailing Address635 Division St, P.o. Box 532Charleston, IL 61920-1902 · (217) 348-8108 · Fax (217) 345-6794
Phone(217) 348-8108
Fax(217) 345-6794
Organization SubpartNo
Authorized OfficialTeressa M. PerdieuExecutive Director · (217) 348-8108
Enumeration DateApril 30, 2015
Last NPPES UpdateOctober 22, 2018
✔ NPI 1508243361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in IL · A-0631-0003-A
416 N 19TH ST, Mattoon, IL 61938
Open in Google Maps ↗

Other Identifiers 1

MedicaidCA-0631-0003-AIL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2030094

Central East Alcoholism And Drug Council · Charleston, IL
Active · expires Oct 29, 2026
CLIA Number14D2030094
Laboratory TypeResidential Facility Trea
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorTeressa M. Perdieu
Laboratory Phone(217) 348-8108
Laboratory LocationCentral East Alcoholism And Drug Council635 Division St, Charleston, IL 61920
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is CENTRAL EAST ALCOHOLISM AND DRUG COUNCIL's NPI number?

The NPI number assigned to this healthcare provider is 1508243361, enumerated as an "organization" on April 30, 2015.

Where is the provider located?

The provider is located at 416 N 19TH ST MATTOON, IL 61938 and the phone number is (217) 348-8108.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

What insurance does CENTRAL EAST ALCOHOLISM AND DRUG COUNCIL accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.