| NPI | 1174051031 |
|---|---|
| Doing Business As | ROSECRANCE GRIFFIN WILLAIMSON |
| Entity Type | Organization |
| Authorized Contact | PHILIP W EATON CEO 815-387-5610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2021-11-30 |