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Crossroads Family Services II LLC

Community Based Residential Treatment Facility, Mental Illness in Portsmouth, VA. Organization (NPI-2).

NPI number1730351925
StatusActive
Last updated in NPPESMar 27, 2008

Details

NPI
1730351925
Entity type
Organization (NPI-2)
Legal business name
Crossroads Family Services II LLC
Organization subpart
No
Enumeration date
Mar 27, 2008
Last updated
Mar 27, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness51014001VAYes

Practice location

2602 Lincoln St
Portsmouth, VA 23704-4245

Phone 757-285-5562 · Fax 757-399-3355

Mailing address

Po Box 10084
Norfolk, VA 23513-0084

Phone 757-285-5562 · Fax 757-399-3355

Authorized official

Tonya L.M. Young
Ceo
7572855562

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