| Crossroads Psychotherapy Pc | |
|
432 Wildwood Ave Jackson MI 49201-1148 | |
| (517) 787-2251 | |
| (517) 787-2879 |
| Full Name | Crossroads Psychotherapy Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 432 Wildwood Ave, Jackson, Michigan |
| Authorized Official Name and Position | David Ralph Krajewski (PRESIDENT) |
| Authorized Official Contact | 5177872251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Psychotherapy Pc 432 Wildwood Ave Jackson MI 49201-1148 Ph: (517) 787-2251 | Crossroads Psychotherapy Pc 432 Wildwood Ave Jackson MI 49201-1148 Ph: (517) 787-2251 |
| NPI Number | 1174704068 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 05/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174704068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801057593 (Michigan) | Primary |
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