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CROSSROADS MIDTOWN NPI 1255962270


NPI Information

NPI: 1255962270
Provider Name: CROSSROADS MIDTOWN

Other Name: MIDTOWN OUTPATIENT

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

Specialization: Rehabilitation, Substance Use Disorder

Address:
3702 N 13TH AVE
PHOENIX, AZ
ZIP 85013
Phone: (602) 263-5242
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CROSSROADS MIDTOWN is a rehabilitation and substance use disorder clinic center in Phoenix, AZ. CROSSROADS MIDTOWN NPI is 1255962270. The provider is registered as an organization entity type.
The provider Other Name Is Midtown Outpatient.

The provider's business location address is:

3702 N 13TH AVE
PHOENIX, AZ
ZIP 85013-677
Phone: (602) 263-5242
Fax: (602) 595-4434

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 1/29/2020 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/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: 4/28/2024

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