Organization
CROSSROADS TO INTERVENTION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAWANNA G MORTON MS,RAS,CFC (INTAKE DIRECTOR/COUNSELOR)
(205) 202-5620
Entity
Organization
Contact information
Practice address
5601 1ST AVENUE NORTH, SUITE 107, BIRMINGHAM, AL 35212
(205) 202-5620
(205) 202-5621
Mailing address
P.O. BOX 12532, BIRMINGHAM, AL 35202
(205) 202-5620
(205) 202-5621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-33321
BLUECROSS/BLUESHIELD
—
Enumeration date
09/29/2008
Last updated
10/17/2012
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