Rosecrance INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Moline, IL. Organization (NPI-2).
NPI number1639892698
StatusActive
Last updated in NPPESSep 23, 2022
Details
- NPI
- 1639892698
- Entity type
- Organization (NPI-2)
- Legal business name
- Rosecrance INC
- Organization subpart
- No
- Enumeration date
- Sep 23, 2022
- Certification date
- Sep 23, 2022
- Last updated
- Sep 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Rosecrance (Doing Business As)
Practice location
4900 38th Ave Ste 5Moline, IL 61265-6707
Phone 815-391-1000
Mailing address
1021 N Mulford RdRockford, IL 61107-3874
Phone 815-387-5623
Authorized official
David Gomel
Ceo
8153911000
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