Organization
CROSS BEHAVIORAL CONSULTING LLC
Active
Other names
Arise Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY JOI CROSS NP (MEDICAL DIRECTOR)
(301) 374-8772
Entity
Organization
Contact information
Practice address
2670 CRAIN HWY STE 106, WALDORF, MD 20601-2820
(301) 374-8772
(301) 374-8773
Mailing address
2107 TURLEYGREEN PL, UPPER MARLBORO, MD 20774-8984
(919) 408-4627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999984100
—
MD
Enumeration date
08/03/2022
Last updated
09/30/2024
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