Rosecrance

NPI #1790066082 in Rockford, Illinois

Provider Information

NPI Number: 1790066082
Entity Type: Organization
Organization Name: Rosecrance
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 31, 2011
Last Updated: Apr 27, 2018

Practice Location

Address: 1422 20TH ST
City: Rockford
State: Illinois
ZIP Code: 61104-3519
Phone: (815) 391-1000

Authorized Official

Name: PHILLIP EATON
Title: CEO / PRESIDENT
Phone: (815) 391-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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