Organization
THE CROSSROADS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE P BUTLER MSW, LISW (CHIEF EXECUTIVE OFFICER)
(513) 475-5300
Entity
Organization
Contact information
Practice address
311 MARTIN LUTHER KING DR, CINCINNATI, OH 45220-2484
(513) 475-5300
(513) 475-5394
Mailing address
311 MARTIN LUTHER KING DR, CINCINNATI, OH 45220-2484
(513) 475-5300
(513) 281-1645
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0315
OH
261QM0850X
Adult Mental Health Clinic/Center
0315
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0315
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
01258
OH
320800000X
Mental Illness Community Based Residential Treatment Facility
0315
OH
324500000X
Substance Abuse Rehabilitation Facility
2344
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01258
ODADAS
OH
01
—
0315
ODMH
OH
01
—
31659
OHIO DEPT. OF MENTAL HEAL
OH
05
—
93.778
—
OH
Enumeration date
04/13/2006
Last updated
11/05/2008
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