| Organization Name: | CROSSROADS BEHAVIORAL HEALTH CENTER |
| NPI Number: | 1053694802 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER BRANTNER (EXECTUTIVE DIRECTOR) |
| Mailing Address: | 1003 Cottonwood St. Creston |
| State: | IA US |
| Postal Code: | 50801 |
| Phone Number: | 6417828457 |
| Fax Number: | 6417827048 |
| NPI Enumeration Date: | 09/27/2011 |
| NPI Last Update Date: | 09/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 1317 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |