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NPI Code Detail

MEDICARE: CROSSROADS, INC.

MEDICARE: CROSSROADS, 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
1324500000XSubstance Abuse Rehabilitation FacilityBH-866AZ

General Provider Information

NPI Number : 1588980742
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROSSROADS, INC.
Provider Business Mailing Address
First Line : 7523 N 35TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-7422
Country : US
Telephone Number : 602-249-8002
Fax Number : 602-249-9563
Provider Business Practice Location Address
First Line : 1632 E FLOWER ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-7115
Country : US
Telephone Number : 602-274-0730
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : CHRIS RILEY
Credential :
Telephone Number : 602-263-5242
Provider Enumeration Date : 04/13/2010
Last Update Date : 06/05/2025

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Directions to “CROSSROADS, INC. ” Practice Location

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