NPI | 1073907705 |
---|---|
Doing Business As | CROSSROADS THERAPY CENTER |
Entity Type | Organization |
Authorized Contact | ROBIN L BEAUMONT Owner/President 267-888-2599 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017011) |
Enumeration Date | 2015-03-19 |
Last Update Date | 2015-03-19 |