Organization
CROSSROAD TRANSITIONAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY N HATAM PH.D. (PRESIDENT)
(818) 718-7223
Entity
Organization
Contact information
Practice address
19646 BALLINGER ST, NORTHRIDGE, CA 91324-2103
(818) 918-7223
(818) 280-5673
Mailing address
19646 BALLINGER ST, NORTHRIDGE, CA 91324-2103
(818) 918-7223
(818) 280-5673
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
04/15/2016
Last updated
04/26/2017
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