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Contact Information

CROSSROADS BEHAVIORAL HEALTH, INC.
91-1010 SHANGRILA ST STE 105
KAPOLEI, HI96707-2176
 Phone: 808-377-4300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CROSSROADS BEHAVIORAL HEALTH, INC.

NPI Number 1013414770
LBN Legal business name CROSSROADS BEHAVIORAL HEALTH, INC.
Authorized official ROBERT JACKSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2018
Last updated 03/13/2019 - About 7 years ago
Identifiers
HI License # PSY809
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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