Organization
CROSSROADS CENTER OF FREDERICK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER GERARD LUECKING (BUSINESS MANAGER)
(301) 696-1950
Entity
Organization
Contact information
Practice address
1890 N MARKET ST STE 301, FREDERICK, MD 21701-3033
(301) 696-1950
(301) 698-2661
Mailing address
1890 N MARKET ST STE 301, FREDERICK, MD 21701-3033
(301) 696-1950
(301) 698-2661
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06287
MD
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
11/07/2022
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