Crossroads Outpatient Treatment Center Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CROSSROADS OUTPATIENT TREATMENT CENTER INC.

Practice address

11484 W. Burbank Blvd.
North Hollywood, CA 91601

Phone

(818) 269-2346

Fax

(818) 509-9781

NPI assigned

Aug 19, 2011

Last updated

Aug 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Garik Gevorgyan

Title

Treasurer

Phone

(818) 269-2346

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1841570090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11484 W. BURBANK BLVD.",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91601",
            "telephone_number": "818-269-2346",
            "fax_number": "818-509-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11484 W. BURBANK BLVD.",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91601",
            "telephone_number": "818-269-2346",
            "fax_number": "818-509-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS OUTPATIENT TREATMENT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "GARIK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "818-269-2346"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.