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Contact Information

CROSSROADS BEHAVIORAL HEALTH, LLC
10 N. MAIN ST
SUITE 204
WEST HARTFORD, CT06107
 Phone: 860-233-8111
 Fax: 860-236-2016
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CROSSROADS BEHAVIORAL HEALTH, LLC

NPI Number 1356567341
LBN Legal business name CROSSROADS BEHAVIORAL HEALTH, LLC
Authorized official SUSAN PETERMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 12/18/2019 - About 6 years ago
Identifiers
CT License # 1631
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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