Organization Name: | AT THE CROSSROADS |
NPI Number: | 1174924310 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VAUGHN HEATH (CLINICAL DIRECTOR) |
Mailing Address: | 139 North 100 West St. George |
State: | UT US |
Postal Code: | 84770 |
Phone Number: | 8016906247 |
Fax Number: | 4352518067 |
NPI Enumeration Date: | 09/08/2014 |
NPI Last Update Date: | 09/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | 9875 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |