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CROSSROADS DETOX NPI 1043827561


NPI Information

NPI: 1043827561
Provider Name: CROSSROADS DETOX

Doing Business As: CROSSROADS, INC. - DETOX

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2002 E OSBORN RD
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-5242
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CROSSROADS DETOX is a rehabilitation and substance use disorder clinic center in Phoenix, AZ. CROSSROADS DETOX NPI is 1043827561. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads, Inc. - Detox.

The provider's business location address is:

2002 E OSBORN RD
PHOENIX, AZ
ZIP 85016-236
Phone: (602) 263-5242

The provider's authorized official is Chris Riley .
The authorized official title is Chief Compliance Officer and has the following contact phone number (602) 263-5242.

The enumeration date for this NPI number is 9/29/2020 and was last updated on 12/27/2023.


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
1251S00000XCommunity/Behavioral HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 5/5/2024

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