Crossroads Behavioral Health, Inc.

NPI #1013414770 in Kapolei, Hawaii

Provider Information

NPI Number: 1013414770
Entity Type: Organization
Organization Name: Crossroads Behavioral Health, Inc.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 10, 2018
Last Updated: Mar 13, 2019

Practice Location

Address: 91-1010 SHANGRILA ST STE 105
City: Kapolei
State: Hawaii
ZIP Code: 96707-2176
Phone: (808) 377-4300

Authorized Official

Name: ROBERT E JACKSON, PHD
Title: PRESIDENT
Phone: (808) 294-3493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry	2084P0804X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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