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CROSSROADS EXTENSION NPI 1962910976


NPI Information

NPI: 1962910976
Provider Name: CROSSROADS EXTENSION

Doing Business As: CROSSROADS, INC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 03D2160972

Address:
244 N EXTENSION RD
MESA, AZ
ZIP 85201
Phone: (602) 263-5242
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CROSSROADS EXTENSION is a community behavioral health in Mesa, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CROSSROADS EXTENSION NPI is 1962910976. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads, Inc..

The provider's business location address is:

244 N EXTENSION RD
MESA, AZ
ZIP 85201-300
Phone: (602) 263-5242
Fax: (602) 595-4434

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

The CLIA number assigned to this NPI record is 03D2160972 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/12/2018 and was last updated on 1/12/2018.


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
1251S00000XCommunity/Behavioral HealthYes

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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