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 | 103TC0700X Psychologist, Clinical |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
133V00000X Dietitian, Registered | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2022-03-09 |
Last Update Date | 2025-06-04 |