Organization
CROSSING PATHS LLC
Active
Other names
Crossing Paths
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC LEMONTE TRUMBULL (OWNER)
(602) 481-0935
Entity
Organization
Contact information
Practice address
10114 N 116TH LN, YOUNGTOWN, AZ 85363-1693
(602) 481-0935
Mailing address
10114 N 116TH LN, YOUNGTOWN, AZ 85363-1693
(602) 481-0935
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336176
AHCCCS PROVIDER ID
AZ
01
—
398176
AHCCCS PROVIDER ID
AZ
Enumeration date
03/06/2025
Last updated
03/06/2025
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