Organization
CROSSROADS YOUTH RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH BAILY (DIRECTOR)
(360) 920-1084
Entity
Organization
Contact information
Practice address
344 FLEMMING ROAD, PACOLET, SC 29372-0000
(360) 920-1084
Mailing address
PO BOX 309, PACOLET, SC 29372-0309
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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