CROSSROADS WELLNESS LLC
NPI 1811626559
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since June 08, 2022
1103 N STRICKER ST, BALTIMORE, MD 21217(410) 697-5502(410) 457-9420 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2024, Jun 8, 2022 (2 updates tracked since 2022).

About Crossroads Wellness Llc NPPES

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

CROSSROADS WELLNESS LLC (NPI 1811626559) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since June 2022. The organization maintains 2 additional practice locations and lists Megan Joy Devaughn, Partner, as its authorized official.

NPPES Registry Identity

NPI1811626559
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCROSSROADS WELLNESS LLC
Location Address1103 N STRICKER STBaltimore, MD 21217-2241
Mailing Address17331 Bushland RdParkton, MD 21120-9476 · (443) 484-6408
Fax(410) 457-9420
Organization SubpartYes
Authorized OfficialMegan Joy DevaughnPartner · (443) 484-6408
Enumeration DateJune 8, 2022
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
NPI 1811626559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
1103 N STRICKER ST, Baltimore, MD 21217

Secondary Practice Locations 2

Location 11019 N Fulton AveBaltimore, MD 21217-1444 · Phone (410) 697-5502 · Fax (410) 457-9420
Location 23302 Washington BlvdBaltimore, MD 21227-1618 · Phone (410) 697-5502 · Fax (410) 457-9420

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Substance Abuse Rehabilitation Facility
1103 N STRICKER ST
BALTIMORE, MD 21217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossroads Wellness LLC's NPI number?

The NPI number for Crossroads Wellness LLC is 1811626559. It was assigned to this organization in the NPPES registry on June 8, 2022.

Where is Crossroads Wellness LLC located?

Crossroads Wellness LLC is located at 1103 N Stricker St, Baltimore, MD 21217. The listed phone number is (410) 697-5502.

What is Crossroads Wellness LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Crossroads Wellness LLC was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.