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NPI Code Detail

MEDICARE: KROSSROADS INTEGRATIVE HEALTH AND RECOVERY SOLUTIONS INC

MEDICARE: KROSSROADS INTEGRATIVE HEALTH AND RECOVERY SOLUTIONS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084A0401XAddiction Medicine (Psychiatry & Neurology) Physician

General Provider Information

NPI Number : 1053266395
Entity Type Code : Organization
Provider Name (Legal Business Name) : KROSSROADS INTEGRATIVE HEALTH AND RECOVERY SOLUTIONS INC
Provider Business Mailing Address
First Line : 400 GOLD AVE SW STE 1300
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-3274
Country : US
Telephone Number : 505-715-4610
Fax Number : 505-715-4620
Provider Business Practice Location Address
First Line : 104 LEGION DR
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4804
Country : US
Telephone Number : 505-570-2526
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : KATHLEEN SCHWEDA-WEBB
Credential : CEO
Telephone Number : 505-238-2814
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “KROSSROADS INTEGRATIVE HEALTH AND RECOVERY SOLUTIONS INC ” Practice Location

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