| NPI | 1649818501 |
|---|---|
| Doing Business As | CROSSROADS 360 COMMUNITY CARE CLINIC-OSBORN |
| Entity Type | Organization |
| Authorized Contact | CHRIS RILEY Chief Compliance Officer 602-263-5242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2024-04-03 |