THE CROSSROADS CENTER NPI 1265496590

NPI Information

NPI: 1265496590
Provider Name: THE CROSSROADS CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
311 MARTIN LUTHER KING DR
CINCINNATI, OH
ZIP 45220
Phone: (513) 475-5300
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THE CROSSROADS CENTER is a rehabilitation and substance use disorder clinic center in Cincinnati, OH. THE CROSSROADS CENTER NPI is 1265496590. The provider is registered as an organization entity type.

The provider's business location address is:

311 MARTIN LUTHER KING DR
CINCINNATI, OH
ZIP 45220-484
Phone: (513) 475-5300
Fax: (513) 475-5394

The provider's authorized official is Jacqueline P Butler .
The authorized official title is Chief Executive Officer and has the following contact phone number (513) 475-5300.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 11/5/2008.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0315	OHIO	No
2	261QM0850X	Clinic/Center	Adult Mental Health	0315	OHIO	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	0315	OHIO	No
4	324500000X	Substance Abuse Rehabilitation Facility		2344	OHIO	No
5	320800000X	Community Based Residential Treatment Facility, Mental Illness		0315	OHIO	No
6	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	01258	OHIO	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	Other Provider Identifier Issuer
1	01258	MEDICARE UPIN	OHIO
2	93.778	MEDICAID	OHIO
3	01258	OTHER	OHIO	ODADAS
4	31659	OTHER	OHIO	OHIO DEPT. OF MENTAL HEAL
5	0315	OTHER	OHIO	ODMH

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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