| Crossroads Healthcare Alliance, Inc | |
|
4989 Rockfish Rd Raeford NC 28376-8355 | |
| (910) 848-0023 | |
| (910) 848-0026 |
| Full Name | Crossroads Healthcare Alliance, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4989 Rockfish Rd, Raeford, North Carolina |
| Authorized Official Name and Position | Duke E Ellis (SOLE OWNER) |
| Authorized Official Contact | 9102861991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Healthcare Alliance, Inc 4989 Rockfish Rd Raeford NC 28376-8355 Ph: (910) 848-0023 | Crossroads Healthcare Alliance, Inc 4989 Rockfish Rd Raeford NC 28376-8355 Ph: (910) 848-0023 |
| NPI Number | 1487705547 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487705547 | NPI | - | NPPES |
| 8301497B | Medicaid | NC | |
| 8301497G | Medicaid | NC | |
| 8301497 | Medicaid | NC | |
| 8301497H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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