# CROSSROADS EXTENSION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CROSSROADS, INC.
- **Other names:** Crossroads Outpatient NPI
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184103400
- **Legal business name:** CROSSROADS, INC.
- **Authorized official:** CHRIS RILEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (602) 263-5242

## Contact information

- **Practice address:** 244 N EXTENSION RD, MESA, AZ 85201-6300
- **Practice address phone:** (602) 263-5242
- **Practice address fax:** (602) 595-4434
- **Mailing address:** 2002 E OSBORN RD, PHOENIX, AZ 85016-7236
- **Mailing address phone:** (602) 263-5242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2018
- **Last updated:** 06/05/2025