Organization Active NPI

Quad Cities Intervention Services

  • Children's Substance Abuse Rehabilitation Facility
  • Moline, IL
National Provider Identifier
1447165469
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
QUAD CITIES INTERVENTION SERVICES
Practice address
3000 41St St
Moline, IL 61265-7859
Phone
(309) 269-2591
Fax
(309) 269-2591
NPI assigned
Aug 14, 2026
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bridgett Yvonne Allen
Title
Owner
Phone
(309) 269-2591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU Primary

Addresses

Primary practice location

3000 41St St
Moline, IL 61265-7859

Mailing address

1019 23Rd Ave
Moline, IL 61265-4771
Phone (309) 269-2591

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1447165469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 23RD AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654771",
            "telephone_number": "309-269-2591",
            "fax_number": "309-269-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657859",
            "telephone_number": "309-269-2591",
            "fax_number": "309-269-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-269-2591"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.