Organization
CROSSROADS COMMUNITY HEALTH CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANA L JOHNSON (RECOVERY COACH & PROGRAM LIAISON)
(575) 224-2110
Entity
Organization
Contact information
Practice address
630 PASEO DEL PUEBLO SUR STE 140, TAOS, NM 87571-7002
(575) 224-2110
Mailing address
630 PASEO DEL PUEBLO SUR STE 140, TAOS, NM 87571-7002
(575) 224-2110
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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