Organization
CROSSROADS HEALTH
Active
Other names
Crossroads Lake County Adolescent Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE IDEN (COO)
(440) 255-1700
Entity
Organization
Contact information
Practice address
9220 MENTOR AVE STE A, MENTOR, OH 44060-6412
(440) 255-1700
Mailing address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 255-1700
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
07/22/2021
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