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Organization
CROSSROADS PROGRAMS
Active
Organization
CROSSROADS PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MICHAEL KOPCHO CPA (CHIEF FINANCIAL OFFICER)
(609) 880-0210
Entity
Organization
Contact information
Practice address
42 DELAWARE AVE, EWING, NJ 08628-2003
(609) 880-0210
Mailing address
610 BEVERLY RANCOCAS RD, WILLINGBORO, NJ 08046-3736
(609) 880-0210
(609) 880-0230
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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