Provider Demographics
NPI:1467697367
Name:CROSSGAP MINISTRIES INC.
Entity Type:Organization
Organization Name:CROSSGAP MINISTRIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ED
Authorized Official - Middle Name:
Authorized Official - Last Name:BABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-966-7267
Mailing Address - Street 1:5326 ADKINS RD
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE FORGE
Mailing Address - State:VA
Mailing Address - Zip Code:23140-2425
Mailing Address - Country:US
Mailing Address - Phone:804-966-7267
Mailing Address - Fax:804-966-2840
Practice Address - Street 1:5326 ADKINS RD
Practice Address - Street 2:
Practice Address - City:PROVIDENCE FORGE
Practice Address - State:VA
Practice Address - Zip Code:23140-2425
Practice Address - Country:US
Practice Address - Phone:804-966-7267
Practice Address - Fax:804-966-2840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705 116598251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable