Organization
CROSSROADS RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WILCOX (CHIEF OPERATING OFFICER)
(401) 277-4315
Entity
Organization
Contact information
Practice address
160 BROAD ST, PROVIDENCE, RI 02903-4028
(014) 521-2255
Mailing address
160 BROAD ST, PROVIDENCE, RI 02903-4028
(014) 521-2255
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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