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NPI 1922620699

NPI 1922620699 : CROSSROADS TURNING POINTS INC : PUEBLO WEST, CO

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General NPI Number Information
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    NPI Number           |    1922620699
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    Entity Type          |    Organization 
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    Legal Business Name  |    CROSSROADS TURNING POINTS INC 
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Dates
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    Enumeration Date     |    05/15/2020
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    355 E SPAULDING AVE 
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    City                 |    PUEBLO WEST
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    State                |    CO
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    Zip                  |    81007
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    Country              |    US
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    Telephone            |    719-543-8751
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    Fax                  |    719-543-7496
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Provider Business Mailing Address
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    Address Line         |    4 MONTEBELLO RD 
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    City                 |    PUEBLO
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    State                |    CO
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    Zip                  |    81001-1237
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    Country              |    US
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    Telephone            |    719-546-6667
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    Fax                  |    719-546-8273
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Authorized Official
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    Title or Position    |    CREDENTIALING & ENROLLMENT SPEC
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    Name                 |     BANAFSHE'  KING 
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    Credential           |    
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    Telephone            |    719-419-7959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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