Organization
CROSSROADS ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VELMA L CARTER (CEO)
(910) 521-8903
Entity
Organization
Contact information
Practice address
306-A NORMAL ST, PEMBROKE, NC 28372-1148
(910) 521-8903
Mailing address
306-A NORMAL ST, PEMBROKE, NC 28372-1148
(910) 521-8903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301740
—
NC
Enumeration date
01/23/2009
Last updated
01/23/2009
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