| NPI | 1043827561 |
|---|---|
| Doing Business As | CROSSROADS, INC. - DETOX |
| Entity Type | Organization |
| Authorized Contact | CHRIS RILEY Chief Compliance Officer 602-263-5242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2023-12-27 |