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 Clinic/Center |
Enumeration Date | 2019-12-11 |
Last Update Date | 2024-10-02 |