Organization
CROSSROADS COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COUCH (EXECUTIVE DIRECTOR)
(541) 405-4210
Entity
Organization
Contact information
Practice address
1875 STOLTZ HILL RD, LEBANON, OR 97355
(541) 405-4210
Mailing address
146 W GRANT STREET, LEBANON, OR 97355
(541) 405-4210
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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