NPI | 1184103400 |
---|---|
Other Name | CROSSROADS OUTPATIENT NPI |
Entity Type | Organization |
Authorized Contact | CHRIS RILEY Compliance Officer 602-263-5242 |
Organization Subpart ? | Yes |
Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
Enumeration Date | 2018-08-08 |
Last Update Date | 2023-12-27 |