NPI:
1356709034
Provider Name:
ROSECRANCE, INC.
Doing Business As: ROSCRANCE CRYSTAL LAKE
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
422 TRACY CT
CRYSTAL LAKE, IL
ZIP 60014
Phone:
(815) 391-1000
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ROSECRANCE, INC. is a rehabilitation and substance use disorder clinic center in Crystal Lake, IL. ROSECRANCE, INC. NPI is 1356709034. The provider is registered as an organization entity type.
The provider Is Doing Business As Roscrance Crystal Lake.
The provider's business location address is:
422 TRACY CT
CRYSTAL LAKE, IL
ZIP 60014-288
Phone: (815) 391-1000
Fax: (815) 316-4726
The provider's authorized official is Philip Eaton .
The authorized official title is Ceo/president and has the following contact phone number (815) 387-5600.
The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/9/2016.