Organization
CROSSPOINTE MENTAL HEALTH, LLC
Active
Other names
Crosspointe Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
NYLA M JENSEN (OWNER)
(208) 736-7090
Entity
Organization
Contact information
Practice address
1415 FILLMORE ST, SUITE 702 & 703, TWIN FALLS, ID 83301-3399
(208) 736-7090
(208) 736-7089
Mailing address
1415 FILLMORE STREET, SUITE 702 AND 703, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386914505
—
ID
Enumeration date
02/23/2015
Last updated
06/30/2015
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