| NPI | 1235314733 |
|---|---|
| Doing Business As | CROSSROADS YOUTH DEVELOPMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIE M SIMPSON Eecutive Director 678-249-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |