Rosecrance, INC.
Substance Abuse Rehabilitation Facility in Rockford, IL. Organization (NPI-2).
NPI number1194979237
StatusActive
Last updated in NPPESNov 25, 2015
Details
- NPI
- 1194979237
- Entity type
- Organization (NPI-2)
- Legal business name
- Rosecrance, INC.
- Organization subpart
- No
- Enumeration date
- Nov 14, 2008
- Last updated
- Nov 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- Rosecrance Harrison - Detox A2 (Doing Business As)
Practice location
3815 Harrison AveDetox A2 - 2nd Floor Northwest A2
Rockford, IL 61108-7631
Phone 815-391-1000 · Fax 815-391-5040
Mailing address
3815 Harrison AveDetox A2 - 2nd Floor Northwest A2
Rockford, IL 61108-7631
Phone 815-391-1000 · Fax 815-391-5040
Authorized official
Philip W. Eaton
Ceo / President
8159311000
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All 16 Substance Abuse Rehabilitation Facility providers in Rockford · All 5,035 providers in Rockford
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