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Organization

ROSECRANCE, INC.

Active
Other names
Rosecrance Harrison - Detox A2
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PHILIP W. EATON MASTER OF SCIENCE (CEO / PRESIDENT)
(815) 931-1000
Entity
Organization

Contact information

Practice address
3815 HARRISON AVE, DETOX A2 - 2ND FLOOR NORTHWEST A2, ROCKFORD, IL 61108-7631
(815) 391-1000
(815) 391-5040
Mailing address
3815 HARRISON AVE, DETOX A2 - 2ND FLOOR NORTHWEST A2, ROCKFORD, IL 61108-7631
(815) 391-1000
(815) 391-5040

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
11/14/2008
Last updated
11/25/2015
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