Organization
CROSSROADS HUMAN SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN VAUGHN FISHER (CEO)
(252) 940-0418
Entity
Organization
Contact information
Practice address
102 W MARTIN LUTHER KING JR DR, WASHINGTON, NC 27889-4906
(252) 940-0418
(252) 940-0421
Mailing address
PO BOX 545, WASHINGTON, NC 27889-0545
(252) 940-0418
(252) 940-0421
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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