Organization
CROSSROADS CONSULTING CENTER
Active
Organization
CROSSROADS CONSULTING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KEN RIEDL PHD (CLINICAL DIRECTOR)
(916) 771-3707
Entity
Organization
Contact information
Practice address
2281 LAVA RIDGE CT, ROSEVILLE, CA 95661-2801
(916) 771-3727
Mailing address
2281 LAVA RIDGE CT, ROSEVILLE, CA 95661-2801
(916) 771-3707
(916) 771-3727
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RO103211032
CA
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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