Organization
ROSECRANCE INC
Active
Other names
Rosecrance Harrison - Detox A1
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP W EATON MS (PRESIDENT/CEO)
(815) 391-0100
Entity
Organization
Contact information
Practice address
3815 HARRISON AVE, ROSECRANCE ON HARRISON - 2ND FLOOR NORTHWEST, ROCKFORD, IL 61108-7631
(815) 391-1000
(815) 484-8640
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-0100
(815) 391-5040
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/04/2006
Last updated
11/25/2015
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