Organization
CROSSROADS BEHAVIORAL HEALTH
Active
Organization
CROSSROADS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA LYNN PFEIFFER CDP (PROGRAM ADMINISTRATOR)
(509) 427-7100
Entity
Organization
Contact information
Practice address
240 SW CASCADE AVE., STEVENSON, WA 98648-0906
(509) 427-7100
(509) 427-7105
Mailing address
240 SW CASCADE AVE., PO BOX 906, STEVENSON, WA 98648-0906
(509) 427-7100
(509) 427-7105
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
30103000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1994797
—
WA
01
—
30103000
STATE CERTIFICATION NUMBE
WA
Enumeration date
05/11/2007
Last updated
08/22/2020
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