| Crossroads Treatment & Counseling Services, Inc | |
|
8855 Sw Holly Ln Ste 122 Wilsonville OR 97070-8793 | |
| (503) 682-7744 | |
| (503) 682-3384 |
| Full Name | Crossroads Treatment & Counseling Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8855 Sw Holly Ln Ste 122, Wilsonville, Oregon |
| Authorized Official Name and Position | Lora E. Baker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5036827744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Treatment & Counseling Services, Inc 8855 Sw Holly Ln Ste 122 Wilsonville OR 97070-8793 Ph: (503) 682-7744 | Crossroads Treatment & Counseling Services, Inc 8855 Sw Holly Ln Ste 122 Wilsonville OR 97070-8793 Ph: (503) 682-7744 |
| NPI Number | 1811267420 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/25/2023 |
| Medicare PECOS PAC ID | 7810237054 |
|---|---|
| Medicare Enrollment ID | O20190325002597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811267420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L3671 (Oregon) | Primary |
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