Healthcare Provider Details

I. General information

NPI: 1578531877
Provider Name (Legal Business Name): CROSSROADS BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 RUSSELL ST
CRESTON IA
50801-3149
US

IV. Provider business mailing address

PO BOX 212
CRESTON IA
50801-0212
US

V. Phone/Fax

Practice location:
  • Phone: 641-782-8457
  • Fax: 641-782-7048
Mailing address:
  • Phone: 641-782-8457
  • Fax: 641-782-7048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRITTANY PALMER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 641-782-8457