Provider Demographics
NPI:1891009205
Name:CROSS ROADS RECOVERY CENTER INC.
Entity Type:Organization
Organization Name:CROSS ROADS RECOVERY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:BAIAMONTE
Authorized Official - Suffix:III
Authorized Official - Credentials:LCDC
Authorized Official - Phone:214-339-3181
Mailing Address - Street 1:5552 S HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-2202
Mailing Address - Country:US
Mailing Address - Phone:214-339-3181
Mailing Address - Fax:214-339-2885
Practice Address - Street 1:5552 S HAMPTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-2202
Practice Address - Country:US
Practice Address - Phone:214-339-3181
Practice Address - Fax:214-339-2885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone