NPI | 1114342441 |
---|---|
Doing Business As | CROSSROADS COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | TIMOTHY PERRY Administrator 608-755-5260 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 1265) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WI 1265) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WI 1265) | |
Enumeration Date | 2014-02-24 |
Last Update Date | 2014-02-24 |