Healthcare Provider Details

I. General information

NPI: 1861316721
Provider Name (Legal Business Name): CROSSROADS SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3404 RIVERSIDE DR
PORT HURON MI
48060-1879
US

IV. Provider business mailing address

3404 RIVERSIDE DR
PORT HURON MI
48060-1879
US

V. Phone/Fax

Practice location:
  • Phone: 810-858-6488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELA VALDIVIA
Title or Position: OWNER
Credential: VALDIVIA
Phone: 810-858-6488