Organization
CROSSROADS EXTENSION
Active
Parent organization
CROSSROADS, INC.
Other names
Extension SABG
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSSROADS, INC.
Authorized official
CHRIS RILEY (EXECUTIVE DIRECTOR)
(602) 263-5242
Entity
Organization
Contact information
Practice address
244 N EXTENSION RD, MESA, AZ 85201-6300
(602) 263-5242
(602) 595-4434
Mailing address
2002 E OSBORN RD, PHOENIX, AZ 85016-7236
(602) 263-5242
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-5467
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397764
—
AZ
Enumeration date
08/06/2018
Last updated
06/05/2025
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