| Crossroads Community Community Health Care, Llc | |
|
1325 Palisades Way Rock Springs WY 82901-7323 | |
| (307) 231-6853 | |
| Not Available |
| Full Name | Crossroads Community Community Health Care, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1325 Palisades Way, Rock Springs, Wyoming |
| Authorized Official Name and Position | Rick D Ditton (OWNER) |
| Authorized Official Contact | 3072316853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Community Community Health Care, Llc 1325 Palisades Way Rock Springs WY 82901-7323 Ph: (307) 231-6853 | Crossroads Community Community Health Care, Llc 1325 Palisades Way Rock Springs WY 82901-7323 Ph: (307) 231-6853 |
| NPI Number | 1700531928 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700531928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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