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Organization
CROSSROADS COUNSELING CENTER, INC.
Active
Organization
CROSSROADS COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HART (LCSW)
(631) 714-5407
Entity
Organization
Contact information
Practice address
440 FURROWS RD, 2ND FL., HOLBROOK, NY 11741-2700
(631) 714-5407
Mailing address
440 FURROWS RD, 2ND FL., HOLBROOK, NY 11741-2700
(631) 714-5407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080259
NY
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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