Organization
ELLIS CONSULTING AND ASSOCIATES
Active
Parent organization
CROSSROADS HEALTHCARE ALLIANCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSSROADS HEALTHCARE ALLIANCE
Authorized official
DR. DUKE E ELLIS II (CEO)
(910) 286-1991
Entity
Organization
Contact information
Practice address
778 HOFFMAN ROAD, JACKSON SPRINGS, NC 27281
(910) 848-0023
(910) 848-0026
Mailing address
4989 ROCKFISH RD, RAEFORD, NC 28376-8355
(910) 848-0023
(910) 848-0026
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
MHL-063-085
NC
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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