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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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