CROSSROADS COMMUNITY, INC. - NPI 1568912657 - Community/Behavioral Health in Centreville, MD

Q: What is Crossroads Community, Inc.'s NPI number?

The NPI number for Crossroads Community, Inc. is 1568912657. It was assigned to this organization in the NPPES registry on October 12, 2016.

Q: What is Crossroads Community, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Crossroads Community, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROADS COMMUNITY, INC. (NPI 1568912657) is a healthcare organization registered as a community/behavioral health in Centreville, Maryland and active in the NPI registry since October 2016. The organization lists Holly R. Ireland, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1568912657

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCROSSROADS COMMUNITY, INC.

Location Address120 BANJO LNCentreville, MD 21617-1002

Mailing Address120 Banjo LnCentreville, MD 21617-1002 · (410) 758-3050 · Fax (410) 758-1223

Phone(410) 758-3050

Fax(410) 758-1223

Organization SubpartNo

Authorized OfficialHolly R. IrelandExecutive Director · (410) 924-4893

Enumeration DateOctober 12, 2016

Last NPPES UpdateJanuary 30, 2025

NPPES CertifiedJanuary 30, 2025

✔ NPI 1568912657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MD · 5278

Definition

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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

120 BANJO LN, Centreville, MD 21617

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ASHLEY MARIE MOGLE

Counselor (Mental Health)