NPI 1902007800

Cornell Interventions

Organisation Substance Abuse Rehabilitation Facility East Saint Louis, IL

Practice location

Address: 302 N 5th St, East Saint Louis, IL 62201-2913
Phone: (618) 271-4542

Authorised official

Name: Jeff Reavy
Title: Contract Mgr
Phone: (630) 824-4547

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence A-8981-0017-A (IL)

Other Substance Abuse Rehabilitation Facility providers in Illinois →

Registry record

NPI: 1902007800
Entity type: Organization
NPI issued: 29 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.