# CROSSROADS HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Crossroads Lake County Adolescent Counseling Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356303911
- **Authorized official:** ALICE IDEN (COO)
- **Authorized official phone:** (440) 255-1700

## Contact information

- **Practice address:** 8445 MUNSON RD, MENTOR, OH 44060-2410
- **Practice address phone:** (440) 255-1700
- **Practice address fax:** (440) 205-2417
- **Mailing address:** 8445 MUNSON RD, MENTOR, OH 44060-2410
- **Mailing address phone:** (440) 255-1700
- **Mailing address fax:** (440) 205-2417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 07/19/2021