ROSECRANCE INC. NPI 1194979237

NPI Information

ROSECRANCE, INC. is a substance abuse rehabilitation facility in Rockford, IL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ROSECRANCE, INC. NPI is 1194979237. The provider is registered as an organization entity type.
The provider Is Doing Business As Rosecrance Harrison - Detox A2.

The provider's business location address is:

3815 HARRISON AVE
DETOX A2 - 2ND FLOOR NORTHWEST A2
ROCKFORD, IL
ZIP 61108-631
Phone: (815) 391-1000
Fax: (815) 391-5040

The provider's authorized official is Philip W. Eaton .
The authorized official title is Ceo / President and has the following contact phone number (815) 931-1000.

The enumeration date for this NPI number is 11/14/2008 and was last updated on 11/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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