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General NPI Number Information
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NPI Number | 1053266395
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Entity Type | Organization
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Legal Business Name | KROSSROADS INTEGRATIVE HEALTH AND RECOVERY SOLUTIONS INC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 104 LEGION DR
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City | LAS VEGAS
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State | NM
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Zip | 87701-4804
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Country | US
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Telephone | 505-570-2526
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Fax |
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Provider Business Mailing Address
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Address Line | 400 GOLD AVE SW STE 1300
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3274
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Country | US
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Telephone | 505-715-4610
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Fax | 505-715-4620
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KATHLEEN SCHWEDA-WEBB
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Credential | CEO
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Telephone | 505-238-2814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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