| Rosecrance Inc | |
|
505 S Schuyler Ave Ste 105 Kankakee IL 60901-5133 | |
| (815) 391-1000 | |
| Not Available |
| Full Name | Rosecrance Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 505 S Schuyler Ave Ste 105, Kankakee, Illinois |
| Authorized Official Name and Position | Britton Carlson (DIRECTOR) |
| Authorized Official Contact | 8153875664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosecrance Inc 1021 N Mulford Rd Rockford IL 61107-3874 Ph: () - | Rosecrance Inc 505 S Schuyler Ave Ste 105 Kankakee IL 60901-5133 Ph: (815) 391-1000 |
| NPI Number | 1194425702 |
|---|---|
| Provider Enumeration Date | 03/03/2023 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194425702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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