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Organization
ROSECRANCE INC
Active
Organization
ROSECRANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP W EATON CEO (PRESIDENT / CEO)
(815) 391-1000
Entity
Organization
Contact information
Practice address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
(815) 316-4726
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
(815) 316-4726
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/01/2012
Last updated
05/21/2013
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