Organization
CROSSROAD HOUSE KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OPHELIA MOSLEY (SOLE OWNER)
(501) 941-1310
Entity
Organization
Contact information
Practice address
88 CYPRESS CREEK DR, CABOT, AR 72023-8196
(501) 941-1310
Mailing address
88 CYPRESS CREEK DR, CABOT, AR 72023-8196
(501) 941-1310
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
OTR1453
AR
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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