Cross Road Youth Services II, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-080-099 Issued in NC

Legal business name

CROSS ROAD YOUTH SERVICES II, INC.

Practice address

730 Hummingbird Cir
Salisbury, NC 28146-2247

Phone

(704) 798-7029

NPI assigned

Jan 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elizabeth W. Macon

Title

Qualified Professional

Phone

(704) 798-7029

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346307238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1306",
            "city": "GRANITE QUARRY",
            "state": "NC",
            "postal_code": "280721306",
            "telephone_number": "704-798-7029",
            "fax_number": "704-279-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HUMMINGBIRD CIR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281462247",
            "telephone_number": "704-798-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS ROAD YOUTH SERVICES II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "QUALIFIED PROFESSIONAL",
        "authorized_official_telephone_number": "704-798-7029",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-080-099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl William Cressey, MSW, LCSW
• Mark Crisafulli, PHD
• David Wayne Crist, MD
• Robert Parker Cristman, LCSW
• Ashten Crosby, DO
• Amanda M Cross
• Shelbi Crowder, RN
• Joseph Cruz, D.O.
• Nestor Cruz Jr., MD
• Crystal Sky Counseling & Consulting, PLLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.