| Crossroads Treatment Center Inc | |
|
8717 S Hosmer St Tacoma WA 98444 | |
| (253) 473-7474 | |
| (253) 474-9724 |
| Full Name | Crossroads Treatment Center Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8717 S Hosmer St, Tacoma, Washington |
| Authorized Official Name and Position | Jeremiah T Saucier (DIRRECTOR/OWNER) |
| Authorized Official Contact | 2534737474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Treatment Center Inc 8717 S Hosmer St Tacoma WA 98444 Ph: (253) 473-7474 | Crossroads Treatment Center Inc 8717 S Hosmer St Tacoma WA 98444 Ph: (253) 473-7474 |
| NPI Number | 1417025461 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417025461 | NPI | - | NPPES |
| 019019001 | Other | WA | GROUP HEALTH |
| CR1264 | Other | WA | REGENCE BLUESHIELD |
| 209641500 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 27008500 (Washington) | Primary |
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