| NPI | 1245886415 |
|---|---|
| Doing Business As | CROSSROADS, INC. PURE HEART COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRIS RILEY Compliance Officer 602-263-5242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2021-03-18 |