| Crossroads Addiction & Mental Health Services, Inc. | |
|
1000 W 29th St Suite 320 South Sioux City NE 68776-3852 | |
| (712) 574-4357 | |
| Not Available |
| Full Name | Crossroads Addiction & Mental Health Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1000 W 29th St, South Sioux City, Nebraska |
| Authorized Official Name and Position | Stephanie Ann Jensen (PRESIDENT/OWNER) |
| Authorized Official Contact | 7123014518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Addiction & Mental Health Services, Inc. 1000 W 29th St Suite 320 South Sioux City NE 68776-3852 Ph: (712) 574-4357 | Crossroads Addiction & Mental Health Services, Inc. 1000 W 29th St Suite 320 South Sioux City NE 68776-3852 Ph: (712) 574-4357 |
| NPI Number | 1003256082 |
|---|---|
| Provider Enumeration Date | 07/05/2013 |
| Last Update Date | 12/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003256082 | NPI | - | NPPES |
| 10026366800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 901 (Nebraska) | Secondary |
| 251S00000X | Community/behavioral Health | 569 (Nebraska) | Primary |
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