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General NPI Number Information
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NPI Number | 1740094879
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Entity Type | Organization
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Legal Business Name | CROSSROADS HEALING CENTER LLC
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 450 ERIE AVE
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City | CONNERSVILLE
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State | IN
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Zip | 47331-3176
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Country | US
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Telephone | 732-691-9850
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Fax |
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Provider Business Mailing Address
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Address Line | 31 ARNOLD BLVD
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City | HOWELL
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State | NJ
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Zip | 07731-2768
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Country | US
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Telephone | 732-691-9850
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Fax |
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Authorized Official
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Title or Position | COO
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Name | ANTHONY HILL
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Credential |
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Telephone | 732-691-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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