Organization
ROSECRANCE INC
Active
Other names
Rosecrance Griffin Williamson
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
1601 UNIVERSITY DR, ROSECRANCE INC GRIFFIN WILLIAMSON, ROCKFORD, IL 61107-5317
(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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/21/2005
Last updated
07/01/2019
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