NPI | 1538527213 |
---|---|
Doing Business As | ROSECRANCE BERRY CAMPUS |
Entity Type | Organization |
Authorized Contact | PHILIP EATON CEO/President 815-391-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0601-0037-A) |
Enumeration Date | 2016-02-09 |
Last Update Date | 2016-02-09 |