Organization
CROSSROADS SEXUAL ASSAULT RESPONSE & RESOURCE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA M HAGELE MD, MPH (MD)
(336) 228-0813
Entity
Organization
Contact information
Practice address
1206 VAUGHN RD, SUITE B, BURLINGTON, NC 27217-2847
(336) 228-0813
(336) 228-7087
Mailing address
PO BOX 673, BURLINGTON, NC 27216-0673
(336) 228-0813
(336) 228-7087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6879
NC
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912904
—
NC
Enumeration date
09/30/2009
Last updated
02/12/2010
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