| NPI | 1124449731 |
|---|---|
| Doing Business As | ROSECRANCE CRYSTAL LAKE |
| Entity Type | Organization |
| Authorized Contact | PHIL EATON CEO / President 815-391-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2018-09-05 |