| NPI | 1558864439 |
|---|---|
| Doing Business As | CROSSROADS OF SOUTHERN NEVADA |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN MORSS Chief Operating Officer 702-332-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |