| Organization Name: | CROSSROADS COUNSELING CENTER OF THE PALM BEACHES |
| NPI Number: | 1013390814 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLENDA ANN BATES (OWNER) |
| Mailing Address: | 1825 Forest Hill Blvd Suite 105 West Palm Beach |
| State: | FL US |
| Postal Code: | 334068902 |
| Phone Number: | 5617227084 |
| Fax Number: | 5616979925 |
| NPI Enumeration Date: | 06/30/2015 |
| NPI Last Update Date: | 07/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |