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Organization

CROSSINGS ADDICTION SERVICES INC, THE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI A PORTER (CEO)
(863) 448-4342
Entity
Organization

Contact information

Practice address
107 W MAIN ST, WAUCHULA, FL 33873-2819
(863) 448-4342
(863) 448-4096
Mailing address
307 PARK DR, WAUCHULA, FL 33873-2413
(863) 448-4342
(863) 448-4096

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
261QR0800X
Recovery Care Clinic/Center

Other

Enumeration date
09/13/2020
Last updated
09/13/2020
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