Provider Demographics
NPI:1972147569
Name:M&D CROSS SERVICES INC
Entity Type:Organization
Organization Name:M&D CROSS SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONYETTA
Authorized Official - Middle Name:ALICE
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH, MFT, NCC
Authorized Official - Phone:302-601-1085
Mailing Address - Street 1:2212 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-4045
Mailing Address - Country:US
Mailing Address - Phone:302-601-1085
Mailing Address - Fax:
Practice Address - Street 1:301 OLD DUPONT RD STE A
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-1084
Practice Address - Country:US
Practice Address - Phone:302-601-1085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health