Crossroads Counseling & Mental Health Agency Inc

Community/Behavioral Health

Agencies

4084 Barrett Dr, Suite B, Raleigh, NC 27609-6604

PECOS Enrollment

Based on the most recent information from CMS, provider Crossroads Counseling & Mental Health Agency Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1245461029
Provider Type
Organization
Full Name
Crossroads Counseling & Mental Health Agency Inc

Subpart
No
Enumeration Date
7/28/2009
Last Updated
7/28/2009

Contact Information

Practice Location

4084 Barrett Dr, Suite B, Raleigh, NC 27609-6604

(347) 581-5342

Unlisted Fax

Mailing Location

4084 Barrett Dr, Suite B, Raleigh, NC 27609-6604

(347) 581-5342

Unlisted Fax

Authorized Official

Allen, Willie Burns (Ceo)

(347) 581-5342

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License 8989230 North Carolina

Crossroads Counseling & Mental Health Agency Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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