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CROSSROADS TREATMENT CENTERS LLC NPI 1184325953


NPI Information

NPI: 1184325953
Provider Name: CROSSROADS TREATMENT CENTERS LLC

Doing Business As: CROSSROADS TREATMENT CENTERS

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 32D2286852

Address:
1711 ISLETA BLVD SW
ALBUQUERQUE, NM
ZIP 87105
Phone: (505) 390-8383
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CROSSROADS TREATMENT CENTERS LLC is an addiction medicine family medicine in Albuquerque, NM. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. CROSSROADS TREATMENT CENTERS LLC NPI is 1184325953. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Crossroads Treatment Centers.

The provider's business location address is:

1711 ISLETA BLVD SW
ALBUQUERQUE, NM
ZIP 87105-635
Phone: (505) 390-8383
Fax: (505) 390-5407

The provider's authorized official is Darren T Webb .
The authorized official title is Owner and has the following contact phone number (505) 228-1518.

The CLIA number assigned to this NPI record is 32D2286852 - other - addiction treatment clini with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/16/2023 and was last updated on 3/19/2024.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2207QA0401XFamily MedicineAddiction MedicineYes
32084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
4291U00000XClinical Medical LaboratoryNo

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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