Organization
CROSSROADS PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH BARNES (CONTROLLER)
(609) 880-0210
Entity
Organization
Contact information
Practice address
59 HOLYOKE LN, WILLINGBORO, NJ 08046-1742
(609) 880-0210
(609) 880-0210
Mailing address
610 BEVERLY RANCOCAS RD, WILLINGBORO, NJ 08046-3736
(609) 880-0210
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
5020
NJ
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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