Organization
CROSSROADS RESCUE MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYRA E. GARLIT LISAC (EXECUTIVE DIRECTOR)
(928) 783-9362
Entity
Organization
Contact information
Practice address
944 S ARIZONA AVE, YUMA, AZ 85364-3947
(928) 783-9362
(928) 329-6020
Mailing address
P.O. BOX 1161, YUMA, AZ 85366
(928) 726-0491
(928) 314-0717
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH-1142
AZ
Other
Enumeration date
12/20/2006
Last updated
08/09/2013
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