Organization · Type 2 NPI

Crossroads Wellness LLC

Substance Abuse Rehabilitation Facility · Baltimore, MD

NPI number 1568212645 Active

Practice location

1019 N Fulton Ave
Baltimore, MD 21217-1444

Call (410) 697-5502 Map

Fax (410) 457-9420

Mailing address

17331 Bushland Rd
Parkton, MD 21120-9476

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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NPI record

NPI: 1568212645
Entity type: Organization (Type 2)
Issued: Mar 25, 2024
Last updated: Apr 2, 2024
Status: Active
Subpart: Yes of Crossroads Wellness LLC

Other names

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Crossroads Wellness LLC · doing business as
Crossroads Wellness LLC · other name

Authorized official

Megan Joy Devaughn
Partner
(443) 484-6408

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1568212645

Crossroads Wellness LLC's National Provider Identifier is 1568212645, issued on Mar 25, 2024. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Baltimore, MD. The record was last updated on Apr 2, 2024.