Crossroads Adolescent and Adult Community Support Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CROSSROADS ADOLESCENT AND ADULT COMMUNITY SUPPORT SERVICES, LLC

Practice address

916 Lamond Ave
Durham, NC 27701-2019

Phone

(919) 672-7076

Fax

(919) 471-8564

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mildred P. Rogers, B.S.

Title

Executive Director

Phone

(919) 672-7076

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1730378985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 LAMOND AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012019",
            "telephone_number": "919-672-7076",
            "fax_number": "919-471-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 LAMOND AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012019",
            "telephone_number": "919-672-7076",
            "fax_number": "919-471-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS ADOLESCENT AND ADULT COMMUNITY SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-672-7076",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Grace Cross
• Nancy V Cross, MD
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• Brandi Crosson, RD
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• Rebecca H Crouch, DPT
• Narda Croughwell
• Hannah Ruth Crowder, MD
• Nancy Crowell, NURSE PRACTITIONER
• Matthew Janik Crowley, MD

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.