Organization
CROSSROADS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAN JOY DEVAUGHN (PARTNER)
(443) 484-6408
Entity
Organization
Contact information
Practice address
3302 WASHINGTON BLVD, BALTIMORE, MD 21227-1618
(410) 697-5502
(410) 457-9420
Mailing address
17331 BUSHLAND RD, PARKTON, MD 21120-9476
(443) 484-6408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
04/02/2024
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