# CROSSROADS SERVICES

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

## Provider details

- **NPI number:** 1790925717
- **Authorized official:** MRS. CHRISTINA RENEE SMITH (CASE MANAGER ADMINISTRATOR)
- **Authorized official phone:** (620) 617-1867

## Contact information

- **Practice address:** 2001 BROADWAY AVE, GREAT BEND, KS 67530-4011
- **Practice address phone:** (620) 617-1867
- **Mailing address:** 2001 BROADWAY AVE, GREAT BEND, KS 67530-4011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2009
- **Last updated:** 03/03/2009