Organization
CROSSROADS PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY GITIN PH.D (OWNER)
(201) 787-5124
Entity
Organization
Contact information
Practice address
28 GREENVIEW DR, PEQUANNOCK, NJ 07440-1714
(201) 787-5124
Mailing address
28 GREENVIEW DR, PEQUANNOCK, NJ 07440-1714
(201) 787-5124
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497845655
—
NJ
Enumeration date
01/11/2021
Last updated
01/11/2021
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