Organization
ROSECRANCE INC
Active
Other names
Rosecrance
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE GOMEL (CEO)
(815) 391-1000
Entity
Organization
Contact information
Practice address
1631 S GALENA AVE, FREEPORT, IL 61032-2517
(815) 391-1000
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3874
(815) 387-5623
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
06/08/2022
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