CROSSROAD TRANSITIONAL INC. NPI 1245684216

NPI Information

CROSSROAD TRANSITIONAL INC. is a substance abuse rehabilitation facility in Northridge, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CROSSROAD TRANSITIONAL INC. NPI is 1245684216. The provider is registered as an organization entity type.

The provider's business location address is:

19646 BALLINGER ST
NORTHRIDGE, CA
ZIP 91324-103
Phone: (818) 918-7223
Fax: (818) 280-5673

The provider's authorized official is Anthony N Hatam .
The authorized official title is President and has the following contact phone number (818) 718-7223.

The CLIA number assigned to this NPI record is 05D2159910 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2016 and was last updated on 4/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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