OrganizationActive
Cornell Interventions
NPI 1902007800 · Substance Abuse Rehabilitation Facility · East Saint Louis, IL
Provider details
- NPI number
- 1902007800
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jeff Reavy, Contract Mgr(630) 824-4547
- License
- A-8981-0017-A (IL)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
302 N 5th St
East Saint Louis, IL 62201-2913
Phone: (618) 271-4542
Approximate (ZIP-level) locationGet directions
Mailing address
302 N 5th St
East Saint Louis, IL 62201-2913
Registry dates
- Enumerated
- 2007-05-29
- 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.