| NPI | 1295713824 |
|---|---|
| Doing Business As | ROSECRANCE HARRISON - DETOX A1 |
| Entity Type | Organization |
| Authorized Contact | PHILLIP W EATON President/CEO 815-391-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2015-11-25 |