| NPI | 1356709034 |
|---|---|
| Doing Business As | ROSCRANCE CRYSTAL LAKE |
| Entity Type | Organization |
| Authorized Contact | PHILIP EATON CEO/President 815-387-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-601-0036-A) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |