Provider Demographics
NPI:1841684503
Name:CROSSWOOD, INC.
Entity type:Organization
Organization Name:CROSSWOOD, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-649-0778
Mailing Address - Street 1:1106 UNIVERSITY BLVD W
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3302
Mailing Address - Country:US
Mailing Address - Phone:301-649-0778
Mailing Address - Fax:301-649-2598
Practice Address - Street 1:801 UNIVERSITY BLVD W
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1040
Practice Address - Country:US
Practice Address - Phone:301-681-4112
Practice Address - Fax:301-681-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No347C00000XTransportation ServicesPrivate Vehicle