CROSSROADS FOR WOMEN INC. NPI 1326030701

NPI Information

NPI: 1326030701
Provider Name: CROSSROADS FOR WOMEN, INC.

Doing Business As: CROSSROADS

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
71 US ROUTE 1
SUITE E
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 773-9931
Get Directions

CROSSROADS FOR WOMEN, INC. is an addiction (substance use disorder) counselor in Scarborough, ME. CROSSROADS FOR WOMEN, INC. NPI is 1326030701. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Crossroads.

The provider's business location address is:

71 US ROUTE 1
SUITE E
SCARBOROUGH, ME
ZIP 04074-375
Phone: (207) 773-9931
Fax: (207) 879-5576

The provider's authorized official is Polly Haight Frawley .
The authorized official title is Chief Of Operations and has the following contact phone number (207) 773-9931.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 12/11/2013.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		221001	MAINE	No
2	101YM0800X	Counselor	Mental Health	124450000	MAINE	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	221001	MAINE	No
4	251S00000X	Community/Behavioral Health		221001	MAINE	No
5	251S00000X	Community/Behavioral Health		124450000	MAINE	No
6	324500000X	Substance Abuse Rehabilitation Facility		220981	MAINE	No
7	101YA0400X	Counselor	Addiction (Substance Use Disorder)	221001	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	124450001	MEDICAID	MAINE
2	124450100	MEDICAID	MAINE
3	0018942	MEDICARE OSCAR/CERTIFICATION	MAINE
4	124450000	MEDICAID	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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