| NPI | 1043436983 |
|---|---|
| Doing Business As | CROSSROADS HEALTHCARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MELISSA A IPSER Program Manager 307-632-8064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WY 20234.0234) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-08-27 |