| The Crossroads Program | |
|
13860 Wyandotte St Kansas City MO 64145-1518 | |
| (816) 942-8966 | |
| Not Available |
| Full Name | The Crossroads Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13860 Wyandotte St, Kansas City, 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 13860 Wyandotte St Kansas City MO 64145-1518 Ph: (816) 942-8966 |
| NPI Number | 1629517131 |
|---|---|
| Provider Enumeration Date | 02/16/2017 |
| Last Update Date | 02/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629517131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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