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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