| NPI | 1689981540 |
|---|---|
| Other Name | CROSSROADS TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS WILSON Medical Director/CEO 850-515-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |