NPI | 1255962270 |
---|---|
Other Name | MIDTOWN OUTPATIENT |
Doing Business As | CROSSROADS, INC MIDTOWN COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | CHRIS RILEY Chief Compliance Officer 602-263-5242 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-01-29 |
Last Update Date | 2023-12-27 |