Organization
CROSSROADS SKILLS DEVELOPMENT INC.
Active
Organization
CROSSROADS SKILLS DEVELOPMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EZE (EXECUTIVE DIRECTOR)
(323) 759-6224
Entity
Organization
Contact information
Practice address
1704 W MANCHESTER AVE STE 105, LOS ANGELES, CA 90047-3056
(323) 759-6224
Mailing address
1704 W MANCHESTER AVE STE 105, LOS ANGELES, CA 90047-3056
(323) 759-6224
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7210
PROVIDER NUMBER
CA
Enumeration date
04/16/2007
Last updated
08/22/2020
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