| Crossroads Community, Inc. | |
|
404 Lecompte St Cambridge MD 21613-2437 | |
| (410) 221-7540 | |
| (410) 221-7541 |
| Full Name | Crossroads Community, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 404 Lecompte St, Cambridge, Maryland |
| Authorized Official Name and Position | John F. Plaskon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4107583050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Community, Inc. Po Box 718 120 Banjo Lane Centreville MD 21617-0718 Ph: (410) 758-3050 | Crossroads Community, Inc. 404 Lecompte St Cambridge MD 21613-2437 Ph: (410) 221-7540 |
| NPI Number | 1346569134 |
|---|---|
| Provider Enumeration Date | 05/19/2010 |
| Last Update Date | 05/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346569134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4389 (Maryland) | Primary |
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