| NPI | 1770110926 |
|---|---|
| Doing Business As | AXIS HEALTH SYSTEM |
| Other Name | CROSSROADS |
| Entity Type | Organization |
| Authorized Contact | SHELLY BURKE Chief Executive Officer 000-000-0000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2021-05-27 |