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ROSECRANCE 1417625013

Overview
Name: ROSECRANCE Specialty: Mental Health Clinic/Center (Including Community Mental Health Center) Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Mental Health (Including Community Mental Health Center). Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: ROSECRANCE,2415 E STATE ST,ROCKFORD,IL,611081749,US Mailing Address: ROSECRANCE,1021 N MULFORD RD,ROCKFORD,IL,611073874,US
Contact #
Practice location phone #: 8153911000 Practice location fax #: Mailing address Phone #: 8153911000 Mailing Address fax #: Authorized official Name/Telephone #:JOHN, FRANCIS, SCHUSTER, CFO 8153875642
Misc
Date NPI was obtained: 08/31/2021 Last data data was updated: 08/31/2021 Insurances:

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