NPI | 1285040865 |
---|---|
Doing Business As | ROSECRANCE MULBERRY |
Entity Type | Organization |
Authorized Contact | PHILIP EATON CEO / President 815-391-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 40108) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2014-07-03 |
Last Update Date | 2015-12-04 |