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Crossroads Treatment Center Of Northern Kentucky, Psc
Substance Use Disorder Rehabilitation Clinic/Center in Independence, Kentucky
NPI 1174040034

Crossroads Treatment Center Of Northern Kentucky, Psc is a Substance Use Disorder Rehabilitation Clinic/Center based in Atlanta, KY and is specialized in Rehabilitation, Substance Use Disorder. Crossroads Treatment Center Of Northern Kentucky, Psc practices in Independence, KY. The NPI Number for Crossroads Treatment Center Of Northern Kentucky, Psc is 1174040034 and holds a License No. (Kentucky).

The current practice location address for Crossroads Treatment Center Of Northern Kentucky, Psc is 1974 Walton Nicholson Pike, Independence, KY and can be reached out via phone at 859-359-5404 and via fax at 859-359-0739.

Location: 1974 Walton Nicholson Pike, Independence, KY, 30374-9057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174040034
Provider Name
Crossroads Treatment Center Of Northern Kentucky, Psc
Credential
Provider Entity Type
Organization
Address
1974 Walton Nicholson Pike, Independence, KY, 30374-9057
Phone Number
859-359-5404
Fax Number
859-359-0739
Provider Enumeration Date
08/23/2017
Last Update Date
11/16/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
810538 01 KY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1974 Walton Nicholson Pike
City
Independence
State
Kentucky
Zip
41051-7906
Phone Number
859-359-5404
Fax Number
859-359-0739
person
Provider Business Mailing Address Details
Address
1974 Walton Nicholson Pike
City
Independence
State
Kentucky
Zip
41051-7906
Phone Number
859-359-5404
Fax Number
859-359-0739
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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