NPI 1043580194

Crossroads Behavioral Services, LLC

Organisation Community/Behavioral Health Agency Oak Grove, MO

Practice location

Address: 1611 Deer Run Rd., Oak Grove, MO 64075
Phone: (816) 838-1808
Mailing address: 1611 Deer Run Rd, Oak Grove, MO 64075-5210

Authorised official

Name: Jeremiah Thomas Hartley
Title: Ceo
Phone: (816) 838-1808

Registered specialties (3)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

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Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X Licence 120123210218441 (MO)

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Registry record

NPI: 1043580194
Entity type: Organization
NPI issued: 6 Jan 2012
Record last updated: 14 May 2012

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.