ROSECRANCE INC. NPI 1558599803

NPI Information

ROSECRANCE, INC. is a substance abuse treatment and children 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. ROSECRANCE, INC. NPI is 1558599803. The provider is registered as an organization entity type.

The provider's business location address is:

215 N. COURT STREET
METHODIST CHURCH
ROCKFORD, IL
ZIP 61103-802
Phone: (815) 391-1000
Fax: (815) 391-5040

The provider's authorized official is Philip W. Eaton .
The authorized official title is President/ceo and has the following contact phone number (815) 391-0100.

The enumeration date for this NPI number is 6/25/2009 and was last updated on 6/25/2009.

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:

Other Identifiers

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