Healthcare Provider Details

I. General information

NPI: 1053266395
Provider Name (Legal Business Name): KROSSROADS INTEGRATIVE HEALTH AND RECOVERY SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 LEGION DR
LAS VEGAS NM
87701-4804
US

IV. Provider business mailing address

400 GOLD AVE SW STE 1300
ALBUQUERQUE NM
87102-3274
US

V. Phone/Fax

Practice location:
  • Phone: 505-570-2526
  • Fax:
Mailing address:
  • Phone: 505-715-4610
  • Fax: 505-715-4620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN SCHWEDA-WEBB
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: CEO
Phone: 505-238-2814