Crossroads Foundation

LBN: Crossroads Foundation
Crossroads Foundation is an health care organization with primary practice located at 3594 4Th Ave , San Diego CA 92103-4940. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Crossroads Foundation can be contacted via phone (619) 296-1151, or through Costello, Dora Maria via phone (619) 296-1151.

Contact Information

Primary practice address
3594 4Th Ave San Diego CA 92103-4940
Phone: (619) 296-1151
Fax: (619) 255-6407
Website:
Map and Directions
Authorized official contact:
Name: Costello, Dora Maria
Phone: (619) 296-1151

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 370002AN California

Profile Details

NPI number 1881819621
LBN Legal business name Crossroads Foundation
DBA Doing business as
Authorized official Costello, Dora Maria
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881819621 NPPES
California Other 37-0001 STATE PROVIDER CODE

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