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

Q: What is Crossroads Foundation's NPI number?

The NPI number for Crossroads Foundation is 1881819621. It was assigned to this organization in the NPPES registry on April 16, 2007.

Q: What is Crossroads Foundation's specialty?

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

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: August 16, 2026.

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About Crossroads Foundation NPPES

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

CROSSROADS FOUNDATION (NPI 1881819621) is a healthcare organization registered as a substance abuse rehabilitation facility in San Diego, California and active in the NPI registry since April 2007. The organization lists Dora Maria Costello, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1881819621

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameCROSSROADS FOUNDATION

Location Address3594 4TH AVESan Diego, CA 92103-4940

Mailing Address3594 4th AveSan Diego, CA 92103-4940 · (619) 296-1151 · Fax (619) 255-6407

Phone(619) 296-1151

Fax(619) 255-6407

Organization SubpartNo

Authorized OfficialDora Maria CostelloExecutive Director · (619) 296-1151

Enumeration DateApril 16, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1881819621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in CA · 370002AN

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.

3594 4TH AVE, San Diego, CA 92103

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Other Identifiers 1

Other37-0001CA · State Provider Code

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.

MARLYN KELLOGG

Marriage & Family Therapist