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Organization

CROSSROADS EXTENSION RESIDENTIAL

Active
Parent organization
CROSSROADS, INC.
Other names
Crossroads, Inc.
Organization subpart
Yes

Provider details

NPI number
Legal business name
CROSSROADS, INC.
Authorized official
MR. CHRIS RILEY (EXECUTIVE DIRECTOR)
(602) 263-5242
Entity
Organization

Contact information

Practice address
244 N EXTENSION RD, MESA, AZ 85201-6300
(602) 263-5242
(602) 595-4434
Mailing address
2002 E OSBORN RD, PHOENIX, AZ 85016-7236
(602) 263-5242
(602) 595-4434

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/12/2018
Last updated
06/05/2025
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