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Organization
CROSSROADS TREATMENT CENTER INC
Active
Organization
CROSSROADS TREATMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH T SAUCIER SUDP (DIRRECTOR/OWNER)
(253) 473-7474
Entity
Organization
Contact information
Practice address
8717 S HOSMER ST, TACOMA, WA 98444
(253) 473-7474
(253) 474-9724
Mailing address
8717 S HOSMER ST, TACOMA, WA 98444
(253) 473-7474
(253) 474-9724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27008500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019019001
GROUP HEALTH
WA
05
—
209641500
—
WA
01
—
CR1264
REGENCE BLUESHIELD
WA
Enumeration date
11/30/2006
Last updated
03/25/2022
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