Organization · Type 2 NPI

Rosecrance Inc

Substance Abuse Rehabilitation Facility · Woodstock, IL

NPI number 1720488604 Active

Practice location

876 Pleasant St
Woodstock, IL 60098-2245

Call (815) 391-1000 Map

Fax (815) 316-4726

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3877

Specialties and licenses

Taxonomy	Code	License
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.

NPI record

NPI: 1720488604
Entity type: Organization (Type 2)
Issued: Aug 28, 2014
Last updated: Apr 26, 2018
Status: Active

Other names

<unavail>
Rosecrance Woodstock House · doing business as
Rosecrance Woodstock House · doing business as

Authorized official

Mr. Philip Eaton, MBA
CEO / President
(815) 391-1000

Verify this record

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.

Is this your record? How to update it.

About NPI 1720488604

Rosecrance Inc's National Provider Identifier is 1720488604, issued on Aug 28, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Woodstock, IL. The record was last updated on Apr 26, 2018.