| Crossroads Peer & Supported Employment | |
|
23 Warren St Se Atlanta GA 30317-2201 | |
| (404) 370-7474 | |
| (404) 370-7475 |
| Full Name | Crossroads Peer & Supported Employment |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23 Warren St Se, Atlanta, Georgia |
| Authorized Official Name and Position | Fabio Bruno Van Der Merwe (COO) |
| Authorized Official Contact | 4042943836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Peer & Supported Employment 445 Winn Way Fl 4 Decatur GA 30030-1707 Ph: (404) 294-3836 | Crossroads Peer & Supported Employment 23 Warren St Se Atlanta GA 30317-2201 Ph: (404) 370-7474 |
| NPI Number | 1578608550 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578608550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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