Organization Name: | CROSSROADS COUNSELING AND CONSULTING ASSOCIATES |
NPI Number: | 1457461972 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASBIR S. KANG (MEDICAL DIRECTOR) |
Mailing Address: | 615 E Mcmurray Rd Mcmurray |
State: | PA US |
Postal Code: | 153173497 |
Phone Number: | 7249423996 |
Fax Number: | 7249425471 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |