NPI | 1598810764 |
---|---|
Former Legal Business Name | CORNELL INTERVENTIONS, INC. |
Entity Type | Organization |
Authorized Contact | SHAYNA A RAVER Contracts Director 724-622-4502 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-8981-0019-A) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2007-01-25 |
Last Update Date | 2025-09-09 |