Organization
CROSSROADS BEHAVIORAL HEALTH PROVIDERS
Active
Organization
CROSSROADS BEHAVIORAL HEALTH PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZIA MAHMOOD (MEMBER)
(270) 300-5564
Entity
Organization
Contact information
Practice address
1900 MEDICAL ARTS DR, HUNTINGBURG, IN 47542-9821
(270) 900-1461
Mailing address
PO BOX 305, UNION CITY, IN 47390-0305
(765) 969-7841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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