# ELLIS CONSULTING AND ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CROSSROADS HEALTHCARE ALLIANCE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982935284
- **Legal business name:** CROSSROADS HEALTHCARE ALLIANCE
- **Authorized official:** DR. DUKE E ELLIS II (CEO)
- **Authorized official phone:** (910) 286-1991

## Contact information

- **Practice address:** 778 HOFFMAN ROAD, JACKSON SPRINGS, NC 27281
- **Practice address phone:** (910) 848-0023
- **Practice address fax:** (910) 848-0026
- **Mailing address:** 4989 ROCKFISH RD, RAEFORD, NC 28376-8355
- **Mailing address phone:** (910) 848-0023
- **Mailing address fax:** (910) 848-0026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | MHL-063-085 | NC | Yes |

## Other

- **Enumeration date:** 01/26/2010
- **Last updated:** 01/26/2010