| Crossroads, Inc. | |
|
244 N Extension Rd Mesa AZ 85201-6300 | |
| (602) 263-5242 | |
| (602) 595-4434 |
| Full Name | Crossroads, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 244 N Extension Rd, Mesa, Arizona |
| Authorized Official Name and Position | Chris Riley (COMPLIANCE OFFICER) |
| Authorized Official Contact | 6022635242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads, Inc. 2002 E Osborn Rd Phoenix AZ 85016-7236 Ph: (602) 263-5242 | Crossroads, Inc. 244 N Extension Rd Mesa AZ 85201-6300 Ph: (602) 263-5242 |
| NPI Number | 1962910976 |
|---|---|
| Provider Enumeration Date | 01/12/2018 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962910976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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