Crossroads Community Source

NPI #1083936157 in Perry, Georgia

Provider Information

NPI Number
1083936157
Entity Type
Organization
Organization Name
Crossroads Community Source
Primary Specialty
Case Management
Enumeration Date
Feb 17, 2010
Last Updated
Feb 17, 2010

Practice Location

Address
1203 BALL ST
City
Perry
State
Georgia
ZIP Code
31069-2501
Phone
(478) 988-1294

Authorized Official

Name
MR. WILLIAM C. DAVIS JR.
Title
CEO
Phone
(478) 988-1294

Specialties & Taxonomy Codes

Specialty
Case Management

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