| NPI | 1629345640 |
|---|---|
| Doing Business As | CROSSROADS RESIDENTIAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | DALE E WHITE Executive Director 408-226-2834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |