Organization Name: | CROSSROADS COUNSELING SERVICES, LLC |
NPI Number: | 1134291271 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN J KOLTIS (OWNER AND DIRECTOR) |
Mailing Address: | 224 S Broadway St Stanley |
State: | WI US |
Postal Code: | 547681011 |
Phone Number: | 7156444357 |
Fax Number: | 7156445053 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2219 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |