| NPI | 1922530096 |
|---|---|
| Doing Business As | THE CROSSROADS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | PAUL MICHAEL WEILAND Owner 636-532-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-31 |