Provider Demographics
NPI:1710114103
Name:CROSSNORE SCHOOL, INC.
Entity Type:Organization
Organization Name:CROSSNORE SCHOOL, INC.
Other - Org Name:CROSSNORE THERAPEUTIC FOSTER CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:828-733-4305
Mailing Address - Street 1:100 DAR DRIVE
Mailing Address - Street 2:PO BOX 249
Mailing Address - City:CROSSNORE
Mailing Address - State:NC
Mailing Address - Zip Code:28616-0249
Mailing Address - Country:US
Mailing Address - Phone:828-733-4305
Mailing Address - Fax:828-733-3250
Practice Address - Street 1:100 DAR DRIVE
Practice Address - Street 2:
Practice Address - City:CROSSNORE
Practice Address - State:NC
Practice Address - Zip Code:28616-0249
Practice Address - Country:US
Practice Address - Phone:828-733-4305
Practice Address - Fax:828-733-3250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCB00009322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children