Organization
CROSSROADS COUNSELING & TRAINING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE NELSON MPS (EXECUTIVE DIRECTOR)
(907) 455-9737
Entity
Organization
Contact information
Practice address
3180 PEGER RD, SUITE 200, FAIRBANKS, AK 99709-5484
(907) 455-9737
Mailing address
PO BOX 82074, FAIRBANKS, AK 99708-2074
(907) 455-9737
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
HC5957
AK
385H00000X
Respite Care
HC5957
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC5957
—
AK
Enumeration date
01/15/2007
Last updated
03/29/2017
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