Organization · Type 2 NPI

Crossroads Extension Residential

Community/Behavioral Health Agency · Mesa, AZ

NPI number 1962910976 Active

Practice location

244 N Extension Rd
Mesa, AZ 85201-6300

Fax (602) 595-4434

Mailing address

2002 E Osborn Rd
Phoenix, AZ 85016-7236

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1962910976

Crossroads Extension Residential's National Provider Identifier is 1962910976, issued on Jan 12, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Mesa, AZ. The record was last updated on Jun 5, 2025.