| Crossroads Residential Services | |
|
5487 Judith St #1 San Jose CA 95123-1807 | |
| (408) 226-2834 | |
| Not Available |
| Full Name | Crossroads Residential Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5487 Judith St, San Jose, California |
| Authorized Official Name and Position | Dale E White (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4082262834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Residential Services Po Box 23126 San Jose CA 95153-3126 Ph: (408) 226-2834 | Crossroads Residential Services 5487 Judith St #1 San Jose CA 95123-1807 Ph: (408) 226-2834 |
| NPI Number | 1629345640 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629345640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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