| Organization Name: | CROSSROADS COUNSELING, INC |
| NPI Number: | 1336234913 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM E KNECHT (DIRECTOR) |
| Mailing Address: | 8 North Grove Street Suite Four Lock Haven |
| State: | PA US |
| Postal Code: | 17745 |
| Phone Number: | 5708931886 |
| Fax Number: | 5708931850 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 11/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 187037 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |