| Crossroads Behavioral Health | |
|
240 Sw Cascade Ave. Stevenson WA 98648-0906 | |
| (509) 427-7100 | |
| (509) 427-7105 |
| Full Name | Crossroads Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 240 Sw Cascade Ave., Stevenson, Washington |
| Authorized Official Name and Position | Victoria Lynn Pfeiffer (PROGRAM ADMINISTRATOR) |
| Authorized Official Contact | 5094277100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Behavioral Health 240 Sw Cascade Ave. Po Box 906 Stevenson WA 98648-0906 Ph: (509) 427-7100 | Crossroads Behavioral Health 240 Sw Cascade Ave. Stevenson WA 98648-0906 Ph: (509) 427-7100 |
| NPI Number | 1578778916 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578778916 | NPI | - | NPPES |
| 30103000 | Other | WA | STATE CERTIFICATION NUMBE |
| 1994797 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 30103000 (Washington) | Primary |
Skamania County Community Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Sw Rock Creek Dr, Stevenson, WA 98648 Phone: 509-427-3850 Fax: 509-427-0188 |