Provider Demographics
NPI:1700369667
Name:CROSS ROADS CASE MANAGEMENT
Entity Type:Organization
Organization Name:CROSS ROADS CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MHRT-C
Authorized Official - Phone:207-399-0297
Mailing Address - Street 1:109 SOMERSET PLZ
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04967-4946
Mailing Address - Country:US
Mailing Address - Phone:207-487-7056
Mailing Address - Fax:207-487-7258
Practice Address - Street 1:109 SOMERSET PLZ
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:ME
Practice Address - Zip Code:04967-4946
Practice Address - Country:US
Practice Address - Phone:207-487-7056
Practice Address - Fax:207-487-7258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-07
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management