Organization
ELLIS CONSULTING AND ASSOCIATES
Active
Other names
Crossroads Healthcare Alliance, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUKE E ELLIS II PHD (SOLE OWNER)
(910) 286-1991
Entity
Organization
Contact information
Practice address
4989 ROCKFISH RD, RAEFORD, NC 28376-8355
(910) 848-0023
(910) 848-0026
Mailing address
4989 ROCKFISH RD, RAEFORD, NC 28376-8355
(910) 848-0023
(910) 848-0026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301497
—
NC
05
—
8301497B
—
NC
05
—
8301497G
—
NC
05
—
8301497H
—
NC
Enumeration date
01/16/2007
Last updated
08/22/2020
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