NPI | 1568459709 |
---|---|
Doing Business As | ROSECRANCE HARRISON - OUTPATIENT |
Entity Type | Organization |
Authorized Contact | PHILIP W EATON President CEO 815-391-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2005-10-03 |
Last Update Date | 2018-04-26 |