Organization
CROSSROADS WELLNESS LLC
Active
Parent organization
CROSSROADS WELLNESS LLC
Other names
Crossroads Wellness LLC, Crossroads Wellness LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSSROADS WELLNESS LLC
Authorized official
MEGAN JOY DEVAUGHN (PARTNER)
(443) 484-6408
Entity
Organization
Contact information
Practice address
1019 N FULTON AVE, BALTIMORE, MD 21217-1444
(410) 697-5502
(410) 457-9420
Mailing address
17331 BUSHLAND RD, PARKTON, MD 21120-9476
(443) 484-6408
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
04/02/2024
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