Organization Name: | CROSSROADS BEHAVIORAL HEALTH SERVICES |
NPI Number: | 1578531877 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER L BRANTNER (EXECUTIVE DIRECTOR) |
Mailing Address: | 1003 Cottonwood Rd Creston |
State: | IA US |
Postal Code: | 50801 |
Phone Number: | 6417828457 |
Fax Number: | 6417827048 |
NPI Enumeration Date: | 03/10/2006 |
NPI Last Update Date: | 12/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |