Organization · Type 2 NPI

Roscrance Inc.

Substance Abuse Rehabilitation Facility · Rockford, IL

NPI number 1174051031 Active

Practice location

1601 University Dr
Rockford, IL 61107-5317

Call (815) 391-1000 Map

Fax (815) 391-5040

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3874

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed
Emotionally Disturbed Childrens' Residential Treatment Facility	322D00000X	None listed
Psychiatric Residential Treatment Facility	323P00000X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

23 other providers at this address

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NPI record

NPI: 1174051031
Entity type: Organization (Type 2)
Issued: May 23, 2017
Last updated: Apr 23, 2026
Status: Active
Subpart: Yes of Roscrance Inc.

Other names

<unavail>
Rosecrance Griffin Willaimson · doing business as
Rosecrance Griffin Willaimson · doing business as

Authorized official

Britton Carlson
Dir, Revenue Cycle
(815) 387-5664

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174051031

Roscrance Inc.'s National Provider Identifier is 1174051031, issued on May 23, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Rockford, IL. The record was last updated on Apr 23, 2026.