CORNELL INTERVENTIONS NPI 1902007800

NPI Information

NPI: 1902007800
Provider Name: CORNELL INTERVENTIONS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
302 N 5TH ST
EAST SAINT LOUIS, IL
ZIP 62201
Phone: (618) 271-4542
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CORNELL INTERVENTIONS is a substance abuse rehabilitation facility in East Saint Louis, IL. The provider is 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. CORNELL INTERVENTIONS NPI is 1902007800. The provider is registered as an organization entity type.

The provider's business location address is:

302 N 5TH ST
EAST SAINT LOUIS, IL
ZIP 62201-913
Phone: (618) 271-4542

The provider's authorized official is Jeff Reavy .
The authorized official title is Contract Mgr and has the following contact phone number (630) 824-4547.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		A-8981-0017-A	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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