| NPI | 1750901260 |
|---|---|
| Other Name | CROSSROADS |
| Doing Business As | AXIS HEALTH |
| Entity Type | Organization |
| Authorized Contact | SHELLY BURKE Chief Executive Officer 000-000-0000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2021-05-27 |