| NPI | 1619602604 |
|---|---|
| Doing Business As | CROSSROADS CLINIC |
| Entity Type | Organization |
| Authorized Contact | RANDY MICHAEL COOPER SVP Finance Op 615-221-3840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-07-22 |