CROSSROADS RESCUE MISSION NPI 1174725808

NPI Information

NPI: 1174725808
Provider Name: CROSSROADS RESCUE MISSION
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
944 S ARIZONA AVE
YUMA, AZ
ZIP 85364
Phone: (928) 783-9362
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CROSSROADS RESCUE MISSION is a substance abuse rehabilitation facility in Yuma, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CROSSROADS RESCUE MISSION NPI is 1174725808. The provider is registered as an organization entity type.

The provider's business location address is:

944 S ARIZONA AVE
YUMA, AZ
ZIP 85364-947
Phone: (928) 783-9362
Fax: (928) 783-5457

The provider's authorized official is Myra Garlit .
The authorized official title is Executive Director and has the following contact phone number (928) 726-0491.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		BH 1142	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6120433	OTHER	ARIZONA	AHCCCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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