CROSSROADS FOUNDATION
NPI 1881819621
Substance Abuse Rehabilitation Facility in San Diego, CA

Active since April 16, 2007
3594 4TH AVE, SAN DIEGO, CA 92103(619) 296-1151(619) 255-6407 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Substance Abuse Rehabilitation Facility

About CROSSROADS FOUNDATION

This page provides the complete NPI Profile along with additional information for Crossroads Foundation, a provider established in San Diego, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1881819621 assigned on April 2007. The practitioner's primary taxonomy code is 324500000X with license number 370002AN (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Dora Maria Costello (Executive Director)

NPI
1881819621 Verify this NPI
Provider Name
CROSSROADS FOUNDATION
Entity Type
Organization
Location Address
3594 4TH AVE SAN DIEGO, CA 92103
Location Phone
(619) 296-1151
Location Fax
(619) 255-6407
Mailing Address
3594 4TH AVE SAN DIEGO, CA 92103
Mailing Phone
(619) 296-1151
Mailing Fax
(619) 255-6407
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2007
Last Update Date
08-22-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
370002AN
License State
CA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. DORA MARIA COSTELLO

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(619) 296-1151

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
37-0001OTHER (01)CASTATE PROVIDER CODE

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
3594 4TH AVE
SAN DIEGO, CA 92103
Counselor (Addiction (Substance Use Disorder))
3594 4TH AVE
SAN DIEGO, CA 92103
Counselor (Addiction (Substance Use Disorder))
3594 4TH AVE
SAN DIEGO, CA 92103
Counselor (Addiction (Substance Use Disorder))
3594 4TH AVE
SAN DIEGO, CA 92103
Peer Specialist
3594 4TH AVE
SAN DIEGO, CA 92103
Peer Specialist
3594 4TH AVE
SAN DIEGO, CA 92103
Counselor (Addiction (Substance Use Disorder))
3594 4TH AVE
SAN DIEGO, CA 92103
Counselor (Addiction (Substance Use Disorder))
3594 4TH AVE
SAN DIEGO, CA 92103
Counselor (Addiction (Substance Use Disorder))
3594 4TH AVE
SAN DIEGO, CA 92103
Peer Specialist
3594 4TH AVE
SAN DIEGO, CA 92103
Case Manager/Care Coordinator
3594 4TH AVE
SAN DIEGO, CA 92103
Counselor (Addiction (Substance Use Disorder))
3594 4TH AVE
SAN DIEGO, CA 92103
Counselor (Addiction (Substance Use Disorder))
3594 4TH AVE
SAN DIEGO, CA 92103
Case Manager/Care Coordinator
3594 4TH AVE
SAN DIEGO, CA 92103
Counselor (Professional)
3594 4TH AVE
SAN DIEGO, CA 92103
Counselor (Mental Health)
3594 4TH AVE
SAN DIEGO, CA 92103
Counselor (Addiction (Substance Use Disorder))
3594 4TH AVE
SAN DIEGO, CA 92103
Marriage & Family Therapist
3594 4TH AVE
SAN DIEGO, CA 92103
Counselor (Addiction (Substance Use Disorder))
3594 4TH AVE
SAN DIEGO, CA 92103
Peer Specialist
3594 4TH AVE
SAN DIEGO, CA 92103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881819621, enumerated as an "organization" on April 16, 2007.

The provider is located at 3594 4TH AVE SAN DIEGO, CA 92103 and the phone number is (619) 296-1151.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.