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 |
Enumeration Date | 2008-01-02 |
Last Update Date | 2008-01-02 |