Organization
CROSSROADS FAMILY SERVICES II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA YOUNG (CEO)
(757) 285-5562
Entity
Organization
Contact information
Practice address
2602 LINCOLN ST, PORTSMOUTH, VA 23704-4245
(757) 399-5800
Mailing address
PO BOX 10084, NORFOLK, VA 23513-0084
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
510-14-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
VA
Enumeration date
08/11/2006
Last updated
08/22/2020
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