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CROSSROADS MIDTOWN NPI 1134557028


NPI Information

NPI: 1134557028
Provider Name: CROSSROADS MIDTOWN
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3702 N 13TH AVE
PHOENIX, AZ
ZIP 85013
Phone: (602) 266-8400
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CROSSROADS MIDTOWN is a substance abuse rehabilitation facility in Phoenix, AZ. 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. CROSSROADS MIDTOWN NPI is 1134557028. The provider is registered as an organization entity type.

The provider's business location address is:

3702 N 13TH AVE
PHOENIX, AZ
ZIP 85013-677
Phone: (602) 266-8400

The provider's authorized official is John Paul Mills .
The authorized official title is Claims Supervisor and has the following contact phone number (602) 263-5242.

The enumeration date for this NPI number is 10/31/2013 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessBH-866ARIZONANo
2324500000XSubstance Abuse Rehabilitation FacilityBH-866ARIZONAYes

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

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