Organization
CROSSROADS FOR WOMEN, INC.
Active
Other names
crossroads for women
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY HAIGHT FRAWLEY (CHIEF OF OPERATIONS)
(207) 773-9931
Entity
Organization
Contact information
Practice address
71 US ROUTE 1, SUITE E, SCARBOROUGH, ME 04074-7173
(207) 773-9931
(207) 879-5576
Mailing address
71 US ROUTE 1, SUITE E, SCARBOROUGH, ME 04074-7173
(207) 773-9931
(207) 879-5576
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
221001
ME
101YM0800X
Mental Health Counselor
Primary
399004
ME
2084P0800X
Psychiatry Physician
399004
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124450000
—
ME
Enumeration date
08/22/2005
Last updated
08/16/2016
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