| Crossroads Cognitive Behavioral Services | |
|
2454 W Lisbon Ave Milwaukee WI 53205-1413 | |
| (414) 562-6361 | |
| (414) 204-8689 |
| Full Name | Crossroads Cognitive Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2454 W Lisbon Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Dereck Mcclendon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4145626361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Cognitive Behavioral Services 2454 W Lisbon Ave Milwaukee WI 53205-1413 Ph: (414) 562-6361 | Crossroads Cognitive Behavioral Services 2454 W Lisbon Ave Milwaukee WI 53205-1413 Ph: (414) 562-6361 |
| NPI Number | 1598215980 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598215980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Wisconsin) | Primary |
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