Organization · Type 2 NPI

Rosecrance

Mental Health Clinic/Center (Including Community Mental Health Center) · Rockford, IL

NPI number 1790066082 Active

Practice location

1422 20th St
Rockford, IL 61104-3519

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3877

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X04081 (IL)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1790066082

Rosecrance's National Provider Identifier is 1790066082, issued on Aug 31, 2011. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Rockford, IL. The record was last updated on Apr 27, 2018.