NPI | 1356327340 |
---|---|
Doing Business As | ROSECRANCE GRIFFIN WILLIAMSON |
Entity Type | Organization |
Authorized Contact | PHILLIP W EATON President/CEO 815-391-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2005-12-21 |
Last Update Date | 2019-07-01 |