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CROSSROADS FAMILY SERVICES II LLC

Residential Treatment Facilities Community Based Residential Treatment Facility, Mental Illness

Provider NPI: 1730351925

Organization Information:
Organization Name:  CROSSROADS FAMILY SERVICES II LLC
Organization is not Subpart
Authorized Official:  TONYA L.M. YOUNG  CEO  757-285-5562

Practice Location:
2602 LINCOLN ST  PORTSMOUTH, VA 23704-4245 US
Tel: 757-285-5562  Fax: 757-399-3355

Business Mailing Address:
PO BOX 10084  NORFOLK, VA 23513-0084 US
Tel: 757-285-5562  Fax: 757-399-3355

NPI Information:
NPI: 1730351925
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y320800000XResidential Treatment Facilities
Community Based Residential Treatment Facility, Mental Illness
VA51014001

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 320800000X

Type:

Classification:



Definition:



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