Organization
CROSSROADS COMMUNITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY R. IRELAND (EXECUTIVE DIRECTOR)
(410) 924-4893
Entity
Organization
Contact information
Practice address
937 GATEWAY DR, CHESTERTOWN, MD 21620-3362
(410) 778-9200
(410) 778-9622
Mailing address
120 BANJO LN, P.O. BOX 718, CENTREVILLE, MD 21617-1002
(410) 758-3050
(410) 758-1223
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4392
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
588541801
—
MD
Enumeration date
12/10/2009
Last updated
01/30/2025
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