# CROSS ROAD YOUTH SERVICES II, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346307238
- **Authorized official:** MRS. ELIZABETH W. MACON (QUALIFIED PROFESSIONAL)
- **Authorized official phone:** (704) 798-7029

## Contact information

- **Practice address:** 730 HUMMINGBIRD CIR, SALISBURY, NC 28146-2247
- **Practice address phone:** (704) 798-7029
- **Mailing address:** PO BOX 1306, GRANITE QUARRY, NC 28072-1306
- **Mailing address phone:** (704) 798-7029
- **Mailing address fax:** (704) 279-4071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-080-099 | NC | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/22/2020