Organization
THE CROSSROADS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH OSINBOWALE MSW, LISW-S, LICDC-S (CHIEF EXECUTIVE OFFICER)
(513) 475-5300
Entity
Organization
Contact information
Practice address
311 MARTIN LUTHER KING DR E, CINCINNATI, OH 45220
(513) 475-5300
(513) 475-5394
Mailing address
311 MARTIN LUTHER KING DR E, CINCINNATI, OH 45220
(513) 475-5300
(513) 475-5394
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0315
OH
261QM0850X
Adult Mental Health Clinic/Center
0315
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0315
OH
320800000X
Mental Illness Community Based Residential Treatment Facility
0315
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01258
ODADAS
OH
01
—
0315
ODMH
OH
01
—
31659
OHIO DEPT OF MENTAL HEALTH
OH
05
—
93.778
—
OH
Enumeration date
06/06/2012
Last updated
01/29/2015
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