| The Crossroads Program | |
|
3605 S. Providence Rd Suite 6 Columbia MO 65203 | |
| (636) 532-9991 | |
| Not Available |
| Full Name | The Crossroads Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3605 S. Providence Rd, Columbia, Missouri |
| Authorized Official Name and Position | Paul Michael Weiland (OWNER) |
| Authorized Official Contact | 6365329991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Crossroads Program 626 Cepi Dr Chesterfield MO 63005-1221 Ph: (636) 532-9991 | The Crossroads Program 3605 S. Providence Rd Suite 6 Columbia MO 65203 Ph: (636) 532-9991 |
| NPI Number | 1922530096 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922530096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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