Organization
CROSSROADS BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WATERS LCSW (CEO/EXECUTIVE DIRECTOR)
(502) 370-1803
Entity
Organization
Contact information
Practice address
409 W NEW CIRCLE RD, LEXINGTON, KY 40511-1832
(859) 800-5353
Mailing address
409 W NEW CIRCLE RD, LEXINGTON, KY 40511-1832
(859) 800-5353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427400977
—
KY
05
—
1962931972
—
KY
Enumeration date
05/05/2020
Last updated
05/05/2020
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