Organization
ROSCRANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTON CARLSON (DIR, REVENUE CYCLE)
(815) 387-5664
Entity
Organization
Contact information
Practice address
939 GALENA SQUARE DR STE B, GALENA, IL 61036-1355
(815) 391-1000
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3874
(815) 387-5623
(815) 387-5623
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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