| NPI | 1972250827 |
|---|---|
| Other Name | ROSECRANCE- RIVER NORTH |
| Entity Type | Organization |
| Authorized Contact | DAVID GOMEL CEO 815-391-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-06-08 |