| Crossroads Skills Dev.inc. | |
|
1704 W Manchester Ave Suite 105 Los Angeles CA 90047-3034 | |
| (323) 759-6224 | |
| (323) 759-6189 |
| Full Name | Crossroads Skills Dev.inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1704 W Manchester Ave, Los Angeles, California |
| Authorized Official Name and Position | James O Eze (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3237596224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Skills Dev.inc. 1704 W Manchester Ave Suite 105 Los Angeles CA 90047-3034 Ph: (323) 759-6224 | Crossroads Skills Dev.inc. 1704 W Manchester Ave Suite 105 Los Angeles CA 90047-3034 Ph: (323) 759-6224 |
| NPI Number | 1972632404 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972632404 | NPI | - | NPPES |
| 7210 | Other | CA | DRUG MEDICAL |
| 190508AN | Other | CA | AOD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 190508AN (California) | Primary |
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