Whalio Doctors

NPI 1003256082

Crossroads Addiction & Mental Health Services, INC.

Organisation Community/Behavioral Health Agency South Sioux City, NE

Practice location

Address
1000 W 29th St Suite 320, South Sioux City, NE 68776-3852
Phone
(712) 574-4357

Authorised official

Name
Stephanie Ann Jensen
Title
President/Owner
Phone
(712) 301-4518

Registered specialties (2)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 569 (NE)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 901 (NE)

Registry record

NPI
1003256082
Entity type
Organization
NPI issued
5 Jul 2013
Record last updated
31 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.