NPI | 1275814568 |
---|---|
Doing Business As | ROSECRANCE AUBURN SUPERVISED LIVING |
Entity Type | Organization |
Authorized Contact | PHILLIP EATON CEO / President 815-391-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 04081) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2011-08-31 |
Last Update Date | 2015-12-08 |