| NPI | 1265450753 |
|---|---|
| Doing Business As | CROSSROADS COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY F. PERRY Administrator 608-755-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: WI 1265) |
| Additional Taxonomies | 261QM0801X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WI 1265) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WI 2868) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-12-11 |