OrganizationActive
Alcoholic Rehabilitation Community Home
NPI 1891910709 · Substance Abuse Rehabilitation Facility · Granite City, IL
Provider details
- NPI number
- 1891910709
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cary Green, Executive Director(618) 877-4987
- License
- A06870001A (IL)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1313 21st St
Granite City, IL 62040-4756
Phone: (618) 877-4987
Fax: (618) 877-4930
Approximate (ZIP-level) locationGet directions
Mailing address
1313 21st St
Granite City, IL 62040-4756
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.