| NPI | 1679036313 |
|---|---|
| Doing Business As | PANOLA MEDICAL CENTER WEST CAMPUS |
| Doing Business As | CROSSROADS BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | KENNETH WILLIAMS Board Vice Chair 901-212-3505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-06-26 |