NPI | 1821120924 |
---|---|
Doing Business As | CROSSROADS |
Entity Type | Organization |
Authorized Contact | GREGORY YOUNG Vice President/Chief Financial Offi 401-444-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2017-03-29 |